JOANNA WIECKOWSKA (DO) – Pulmonary Disease Physician, NPI 1659860872

JOANNA WIECKOWSKA (DO) is a healthcare provider. based in Grand blanc, Michigan. specializing in PULMONARY DISEASE. They hold the professional credentials DO. They hold a License No. 5101023799 (MI). The NPI Number for JOANNA WIECKOWSKA (DO) is 1659860872

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JOANNA WIECKOWSKA (DO)
NPI
1659860872
Phone
(810) 606-5981
Address
1 GENESYS PKWY
Enumeration Date
2 May 2018
Last Update Date
27 September 2024

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
2316728145
Graduation Year
2016 (10 years ago)
PAC ID
2062756505
Group Practice PAC ID
3274504105
Professional Enrollment ID
I20240806004393
Address ID
MI494441854MU1560XBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

657 PULMONARY DISEASE in MI

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Provider Addresses for JOANNA WIECKOWSKA (DO)

  • Genesys Regional Medical Center, 1, Genesys Parkway, Genesee County, Michigan, 48439, United States

    GRAND BLANC, MI 484398065

    Phone: (810) 606-5981

    Type: Location

  • PO BOX 776982

    CHICAGO, IL 606776982

    Phone: (800) 494-5797

    Type: Mailing

  • 1560 E SHERMAN BLVD

    STE 250

    MUSKEGON, MI 494441854

    Phone: (231) 672-6186

    Fax: (231) 672-6181

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $1,389.

Total Amount is formed as General ($1,389) + Research ($0) + Ownership ($0) = $1,389.

Last reported payment date: 2024-05-29 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($585).

Total Amount

$1,389

General + Research + Ownership

Payments

36

Total payment records

General Amount

$1,389

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-29

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-06

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
I20240806004393IPulmonary DiseaseMITBD

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 48439)

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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: 3274504105View full group profile
NameSpecialtyState
Sleep Medicine, Internal MedicineMI
Physician AssistantMI
Physician AssistantMI
Nurse PractitionerMI
Physician AssistantMI
-MI
Thoracic Surgery, General SurgeryMI
Cardiovascular Disease (Cardiology)MI
Pulmonary Disease, Internal MedicineMI
Pulmonary Disease, Sleep MedicineMI

Reviews

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Frequently asked questions

What is the standard ID for JOANNA WIECKOWSKA (DO) in the U.S.?
In the U.S., JOANNA WIECKOWSKA (DO) is identified by NPI 1659860872.
Quick check: is JOANNA WIECKOWSKA (DO) active?
Public NPPES data shows JOANNA WIECKOWSKA (DO) with an active NPI status right now.
Which specialty label fits JOANNA WIECKOWSKA (DO)?
NPPES ties JOANNA WIECKOWSKA (DO) to Pulmonary Disease Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to JOANNA WIECKOWSKA (DO)?
JOANNA WIECKOWSKA (DO) shows a connection to Grand Blanc, Michigan in registry-derived data.
Who maintains JOANNA WIECKOWSKA (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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