MARY C WICZEK APRN,CNP
NPI 1962003277
Nurse Practitioner - Family in Saint Cloud, MN
About Mary C Wiczek Aprn,cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY C WICZEK APRN,CNP (NPI 1962003277) is an individual family provider in Saint Cloud, Minnesota, licensed in Minnesota (7722) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit Lakes, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary C Wiczek Aprn,cnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mary Wiczek reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waite Park, MN 56387
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 clinicians in this Medicare group
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 540 clinicians in this Medicare group
Brooklyn Park, MN 55445
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 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 2
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 56301 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 10
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 Mary Wiczek's NPI number?
The NPI number for Mary Wiczek is 1962003277. It was assigned to this individual provider in the NPPES registry on November 3, 2020.
Where is Mary Wiczek located?
Mary Wiczek practices at 2420 W Division St, Saint Cloud, MN 56301. The listed phone number is (866) 389-2727.
What is Mary Wiczek's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Wiczek enrolled in Medicare?
Yes. Mary Wiczek 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.
Which organizations bill Medicare for Mary Wiczek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Wiczek reassigns Medicare benefits to 3 organizations: Group Health, Inc. (Waite Park, MN), North Memorial Health Care (Maple Grove, MN) and Park Nicollet Clinic (Brooklyn Park, MN). 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 Mary Wiczek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Wiczek accept?
Health plans from HealthPartners list Mary Wiczek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Wiczek was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mary C Wiczek, APRN,CNP · NPI 1962003277
Family physician in Saint Cloud, Minnesota. Individual provider, active in the CMS NPPES registry since November 3, 2020.
## Identity
- **NPI:** 1962003277 (Entity type: Individual)
- **Enumerated:** November 3, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 7722 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2420 W DIVISION ST, Saint Cloud, MN 56301-3926
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Group Health, Inc. (NPI 1457836454, Waite Park, MN); North Memorial Health Care (NPI 1972782571, Maple Grove, MN); Park Nicollet Clinic (NPI 1447668678, Brooklyn Park, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1962003277) · Data from the CMS NPPES public registry.