Teresa Wiczynski, PA
NPI 1417647579 · Physician Assistant · Louisville, KY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Teresa Wiczynski, PA is a Physician Assistant provider in Louisville, KY (NPI 1417647579).
Provider details
- NPI number
- 1417647579
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- TC400 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-11
- Last updated
- 2023-09-25
- Certified
- 2023-09-25
Frequently asked questions
- What is Teresa Wiczynski's NPI number?
- Teresa Wiczynski's National Provider Identifier (NPI) is 1417647579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Teresa Wiczynski's specialty?
- Teresa Wiczynski is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Teresa Wiczynski located?
- Teresa Wiczynski's practice location on file with NPPES is 2933 Breckenridge Ln Ste 103, Louisville, KY 40220-1494.
- What is Teresa Wiczynski's phone number?
- The practice phone number listed in the NPPES registry for Teresa Wiczynski is (502) 394-5678.
- Does Teresa Wiczynski accept Medicare?
- Teresa Wiczynski is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Teresa Wiczynski's NPI active?
- Yes — Teresa Wiczynski's NPI (1417647579) is active in the NPPES registry as of the last update on 2023-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.