JENNIFER WAWZYSKO (AGNP-C) – Primary Care Nurse Practitioner, NPI 1467258160

JENNIFER WAWZYSKO (AGNP-C) is a healthcare provider. based in Battle creek, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. 4704300786 (MI). The NPI Number for JENNIFER WAWZYSKO (AGNP-C) is 1467258160

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
JENNIFER WAWZYSKO (AGNP-C)
NPI
1467258160
Phone
(269) 753-4092
Address
31 MASON AVE S
Enumeration Date
22 February 2025
Last Update Date
22 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2697814271
Graduation Year
2025 (1 year ago)
PAC ID
2062921430
Group Practice PAC ID
1254228745
Professional Enrollment ID
I20250605001992
Address ID
MI490681143MA200XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for JENNIFER WAWZYSKO (AGNP-C)

  • 31 MASON AVE S

    BATTLE CREEK, MI 490371611

    Phone: (269) 753-4092

    Type: Mailing

  • 14231 BEADLE LAKE RD

    BATTLE CREEK, MI 490148213

    Phone: (269) 962-0441

    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: 2025-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250605001992INurse PractitionerMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49037)

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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: 1254228745View full group profile
NameSpecialtyState
Nurse PractitionerMI
Family PracticeMI
G A S T R O E N T E R O L O G YMI
-MI
General SurgeryMI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
-MI
-MI

Reviews

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Frequently asked questions

What unique ID ties claims to JENNIFER WAWZYSKO (AGNP-C)?
NPI 1467258160 is assigned to JENNIFER WAWZYSKO (AGNP-C) under the national enumeration system.
Is JENNIFER WAWZYSKO (AGNP-C)'s NPI currently valid?
The extract we use shows JENNIFER WAWZYSKO (AGNP-C) as active.
Can you summarize JENNIFER WAWZYSKO (AGNP-C)'s specialty in plain language?
Clinically, the directory lists JENNIFER WAWZYSKO (AGNP-C) with Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for JENNIFER WAWZYSKO (AGNP-C)?
We surface Battle Creek, Michigan for JENNIFER WAWZYSKO (AGNP-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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