ELZBIETA EDYTA WISNIEWSKI (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1679134563

ELZBIETA EDYTA WISNIEWSKI (AGACNP-BC) is a healthcare provider. based in Bingham farms, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 4704285494 (MI). The NPI Number for ELZBIETA EDYTA WISNIEWSKI (AGACNP-BC) is 1679134563

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ELZBIETA EDYTA WISNIEWSKI (AGACNP-BC)
NPI
1679134563
Phone
(248) 621-9100
Address
31500 Telegraph Rd Ste 115
Enumeration Date
22 June 2019
Last Update Date
19 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2486219100
Graduation Year
2019 (7 years ago)
PAC ID
3072942986
Group Practice PAC ID
0143596379
Professional Enrollment ID
I20200327002451
Address ID
MI480254302BI31500RDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for ELZBIETA EDYTA WISNIEWSKI (AGACNP-BC)

  • 31500 Telegraph Rd Ste 115

    Bingham Farms, MI 480254302

    Phone: (248) 621-9100

    Fax: (248) 621-9111

    Type: Location

  • 45522, Hidden View Court, Utica, Macomb County, Michigan, 48315, United States

    UTICA, MI 483155921

    Phone: (248) 550-9159

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $462.

Total Amount is formed as General ($462) + Research ($0) + Ownership ($0) = $462.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: UCB, Inc. ($203).

Total Amount

$462

General + Research + Ownership

Payments

9

Total payment records

General Amount

$462

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-03-27

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
I20200327002451INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes18450$0
99292Critical care, each additional 30 minutes3123$0
View full utilization report →

Insurance plans in this area (ZIP 48025)

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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: 0143596379View full group profile
NameSpecialtyState
N E U R O L O G YMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What is the standard ID for ELZBIETA EDYTA WISNIEWSKI (AGACNP-BC) in the U.S.?
In the U.S., ELZBIETA EDYTA WISNIEWSKI (AGACNP-BC) is identified by NPI 1679134563.
Should I treat ELZBIETA EDYTA WISNIEWSKI (AGACNP-BC) as an active provider?
Patients and plans typically see ELZBIETA EDYTA WISNIEWSKI (AGACNP-BC) as active in the national extract.
Which specialty label fits ELZBIETA EDYTA WISNIEWSKI (AGACNP-BC)?
NPPES ties ELZBIETA EDYTA WISNIEWSKI (AGACNP-BC) to Acute Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ELZBIETA EDYTA WISNIEWSKI (AGACNP-BC)?
ELZBIETA EDYTA WISNIEWSKI (AGACNP-BC) shows a connection to Bingham Farms, Michigan in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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