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KERI WIECZERZAK
NPI 1790314565
Physician Assistant - Surgical in Hartford, CT

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
80 JEFFERSON ST, HARTFORD, CT 06106(860) 972-5022 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2024, Feb 10, 2021, Jan 21, 2021 and 1 more (4 updates tracked since 2020).

About Keri Wieczerzak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERI WIECZERZAK (NPI 1790314565) is an individual surgical provider in Hartford, Connecticut and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in New London, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790314565
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKERI WIECZERZAK
Location Address80 JEFFERSON STHartford, CT 06106-5035
Mailing Address51 Church StMystic, CT 06355-2745 · (973) 349-9314
Phone(860) 972-5022
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 3, 2020
Last NPPES UpdateMay 6, 20244 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1790314565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
80 JEFFERSON ST, Hartford, CT 06106
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Secondary Practice Location 1

Location 1365 Montauk AveNew London, CT 06320-4700 · Phone (860) 442-0711

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keri Wieczerzak is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779990122
PECOS Enrollment IDI20210331000823
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHOLIC CHARITIES
Community/Behavioral Health
80 JEFFERSON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 527-1124
INSTITUTE FOR THE HISPANIC FAMILY
Community/Behavioral Health
80 JEFFERSON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 527-1124
MR. EDWARD JOEL VALENTIN
Social Worker
80 JEFFERSON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 527-1124
MRS. MARTHA B. MINGEL MS, MSW
Counselor (Mental Health)
80 JEFFERSON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 240-5692
CATHOLIC CHARITITES
Community/Behavioral Health
80 JEFFERSON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 527-1124
MR. PAUL JAMES AGACINSKI VAZQUEZ MSW
Social Worker (Clinical)
80 JEFFERSON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 527-1124
MR. LUIS MANUEL FELIX MSW
Social Worker (Clinical)
80 JEFFERSON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 527-1124
MISS JOANNE SANTIAGO
Social Worker (Clinical)
80 JEFFERSON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 527-1124

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 Keri Wieczerzak's NPI number?

The NPI number for Keri Wieczerzak is 1790314565. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Keri Wieczerzak located?

Keri Wieczerzak practices at 80 Jefferson St, Hartford, CT 06106. The listed phone number is (860) 972-5022.

What is Keri Wieczerzak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Keri Wieczerzak enrolled in Medicare?

Yes. Keri Wieczerzak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Keri Wieczerzak was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.