MRS. JACKIE ANN WISZCZUR FNP
NPI 1689062390
Nurse Practitioner - Family in Huntersville, NC
About Mrs. Jackie Ann Wiszczur Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACKIE ANN WISZCZUR FNP (NPI 1689062390) is an individual family provider in Huntersville, North Carolina, licensed in North Carolina (5020267) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jackie Ann Wiszczur Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jackie Wiszczur reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salisbury, NC 28144
- Reassigned Medicare billing, North Carolina enrollment
- 18 clinicians in this Medicare group
Salisbury, NC 28144
- Reassigned Medicare billing, North Carolina enrollment
- 26 clinicians in this Medicare group
Wyomissing, PA 19610
- Reassigned Medicare billing, Pennsylvania enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 14
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jackie Wiszczur's NPI number?
The NPI number for Jackie Wiszczur is 1689062390. It was assigned to this individual provider in the NPPES registry on January 3, 2015.
Where is Jackie Wiszczur located?
Jackie Wiszczur practices at 12305 Mccord Rd, Huntersville, NC 28078. The listed phone number is (910) 553-8494.
What is Jackie Wiszczur's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jackie Wiszczur enrolled in Medicare?
Yes. Jackie Wiszczur is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jackie Wiszczur's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Wiszczur reassigns Medicare benefits to 3 organizations: Longevity Accountable Care, PA (Salisbury, NC), Longevity Clinical Ltc Associates Of North Carolina PLLC (Salisbury, NC) and Center For Urologic Care Of Berks Co PC (Wyomissing, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackie Wiszczur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jackie Wiszczur was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.