Edward W Vanwoesik, ACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP8508 Issued in AZ

Practice address

14961 W Bell Rd Ste 175
Surprise, AZ 85374-3220

Phone

(623) 242-9830

Fax

(623) 243-6733

NPI assigned

Mar 3, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zion Medical Group PLLCGroup PAC ID 1355566464, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Zion Medical Group PLLC

  • Hospitalist Physician
  • Chandler, AZ
  • NPI 1184049322
  Medicare reassignment Care Compare group NPD
• Arizona Lung Sleep and Valley Fever Institute Inc

  • Pulmonary Disease Physician
  • Surprise, AZ
  • NPI 1457568842
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1891155875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15417 N 170TH AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853881321",
            "telephone_number": "623-326-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14961 W BELL RD STE 175",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743220",
            "telephone_number": "623-242-9830",
            "fax_number": "623-243-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWOESIK",
        "first_name": "EDWARD",
        "middle_name": "W",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-03",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP8508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133428",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Vanderbilt, DNM
• Whitney Vandermer, RD
• Anna Helene Vanderwall
• Der Vang, OD
• Kyri Vanvoorst, MOT, OTR/L
• Hugo Ernesto Vargas Cruz, PHARMD
• Patricia Vargas
• Vasco Healthcare Inc
• Vascular Imaging Solutions LLC
• Annamaria Vasquez Ramos

• Acute Care Nurse Practitioner in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.