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KIMIKO WYSOCKI
NPI 1891488565
Physician Assistant - Medical in Middletown, CT

Active since May 30, 2023PECOS Enrolled
1250 SILVER ST, MIDDLETOWN, CT 06457(860) 346-0300 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2023, May 30, 2023 (2 updates tracked since 2023).

About Kimiko Wysocki NPPES

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

KIMIKO WYSOCKI (NPI 1891488565) is an individual medical provider in Middletown, Connecticut, licensed in Connecticut (6210) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891488565
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKIMIKO WYSOCKI
Location Address1250 SILVER STMiddletown, CT 06457-3946
Mailing Address17 Yarmouth StLongmeadow, MA 01106-3224 · (413) 348-5648
Phone(860) 346-0300
Sole ProprietorNo
Enumeration DateMay 30, 2023
Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
✔ NPI 1891488565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 6210
Also ListedPhysician AssistantTaxonomy 363A00000X
1250 SILVER ST, Middletown, CT 06457
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimiko Wysocki is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

MS. JAMIE LYNN BIRCHALL AS DARC
Counselor (Addiction (Substance Use Disorder))
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
MRS. NICOLE MARIE ALEXOPOULOS MSAP
Counselor (Addiction (Substance Use Disorder))
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 972-1106
MS. LISA LYNN CAREY MFT
Counselor (Addiction (Substance Use Disorder))
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
MONIQUE T MILEY APRN
Nurse Practitioner (Psychiatric/Mental Health)
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
DR. TRICIA A. MACHINSKI M.D.
Student in an Organized Health Care Education/Training Program
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
ERIN R ALEX LCSW
Social Worker (Clinical)
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
RUSHFORD
Substance Abuse Rehabilitation Facility
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
MS. SUSAN ALESSI DESOUSA BS MSW
Social Worker (Clinical)
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (086) 346-0300

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 Kimiko Wysocki's NPI number?

The NPI number for Kimiko Wysocki is 1891488565. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Where is Kimiko Wysocki located?

Kimiko Wysocki practices at 1250 Silver St, Middletown, CT 06457. The listed phone number is (860) 346-0300.

What is Kimiko Wysocki's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kimiko Wysocki enrolled in Medicare?

Yes. Kimiko Wysocki is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimiko Wysocki was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.