DR. JARED ANDERSEN WOJNICKI (D.O.) – Family Medicine Physician, NPI 1023099256

DR. JARED ANDERSEN WOJNICKI (D.O.) is a healthcare provider. based in Mahomet, Illinois. specializing in GENERAL PRACTICE. They hold the professional credentials D.O.. They hold a License No. 20A8952 (CA). The NPI Number for DR. JARED ANDERSEN WOJNICKI (D.O.) is 1023099256

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. JARED ANDERSEN WOJNICKI (D.O.)
NPI
1023099256
Phone
(913) 359-6001
Address
601 E MAIN ST
Enumeration Date
5 November 2005
Last Update Date
6 November 2023

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
9133596021
Graduation Year
2003 (23 years ago)
PAC ID
0042588527
Group Practice PAC ID
8921458720
Professional Enrollment ID
I20170626001452
Address ID
IL600676968PA453XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

212 GENERAL PRACTICE in IL

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Provider Addresses for DR. JARED ANDERSEN WOJNICKI (D.O.)

  • Sangamon on Main, 601, East Main Street, Mahomet, Champaign County, Illinois, 61853, United States

    STE 101

    MAHOMET, IL 618537460

    Phone: (913) 359-6001

    Fax: (913) 359-5552

    Type: Mailing

  • 6601 COLLEGE BLVD STE 120

    OVERLAND PARK, KS 662111504

    Phone: (913) 359-6001

    Fax: (913) 359-5552

    Type: Mailing

  • 453 S VERMONT ST STE C

    PALATINE, IL 600676968

    Phone: (913) 359-6001

    Fax: (913) 359-5552

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170626001452IGeneral PracticeILTBD
I20210304002382IGeneral PracticeWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
74230Imaging for evaluation of swallowing function145122$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes116116$0
View full utilization report →

Insurance plans in this area (ZIP 61853)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921458720View full group profile
NameSpecialtyState
General SurgeryMI
O B S T E T R I C S/ G Y N E C O L O G YMI
General PracticeOH
Otolaryngology, Pediatric MedicineMO
Emergency MedicineIL
Internal MedicineMI
Internal Medicine, Hospitalist, Internal MedicineMI
Family PracticeOH
General PracticeNC
General PracticeKS

Reviews

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Frequently asked questions

What federal number belongs to DR. JARED ANDERSEN WOJNICKI (D.O.)?
The federal identifier for DR. JARED ANDERSEN WOJNICKI (D.O.) is NPI 1023099256.
Is DR. JARED ANDERSEN WOJNICKI (D.O.) active in the national directory?
DR. JARED ANDERSEN WOJNICKI (D.O.)'s public NPI profile is in an active state.
What does DR. JARED ANDERSEN WOJNICKI (D.O.) treat or focus on?
Patients typically see DR. JARED ANDERSEN WOJNICKI (D.O.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JARED ANDERSEN WOJNICKI (D.O.)?
The snapshot lists Mahomet, Illinois for DR. JARED ANDERSEN WOJNICKI (D.O.); download NPPES for the complete set.
Is DR. JARED ANDERSEN WOJNICKI (D.O.) a real provider?
This page reflects official NPPES data for NPI 1023099256. Always confirm identity and privileges with the practice and licensing boards.

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