Individual provider Active NPI

Alexandra Wozniak

  • Primary Care Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1962989020
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R188842 Issued in MD
Practice address
6334 Cedar LN Ste 103
Columbia, MD 21044-3898
Phone
(410) 531-2355
Fax
(410) 531-7041
NPI assigned
Jul 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R188842 MD
Primary Care Nurse Practitioner 363LP2300X R188842 MD Primary

Addresses

Primary practice location

6334 Cedar LN Ste 103
Columbia, MD 21044-3898

Mailing address

6334 Cedar LN
Ste 103
Columbia, MD 21044-3898
Phone (410) 340-6375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20180926000222 MD Practitioner - Nurse Practitioner 5294086575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Physician Care, LLCGroup PAC ID 3274683289, 13 clinicians

Practice addresses (Care Compare)

6334 Cedar LN
Suite 103
Columbia, MD 21044-4172
Phone (410) 531-2355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R188842MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Physician Care, LLC CurrentSince Aug 7, 2018 Accepting new patients

Locations

6334 Cedar Ln
Ste 103
Columbia, MD 21044
Phone (410) 531-2355

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1962989020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 CEDAR LN",
            "address_2": "STE 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443898",
            "telephone_number": "410-340-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6334 CEDAR LN STE 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443898",
            "telephone_number": "410-531-2355",
            "fax_number": "410-531-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOZNIAK",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-22",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R188842",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R188842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.