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Active NPI 1720128069 Individual Practitioner Male Practitioner

Dr. Kenneth James Wysocki , PhD, FNP

Registered Nurse • Minnetonka, MN

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Wysocki, PhD, FNP is a registered healthcare professional specializing in Registered Nurse in Minnetonka, MN. Practice services are available at 9900 BREN RD E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9900 Bren Rd E

Minnetonka, MN 553439664

Telephone 6027023825
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Minnetonka, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.8 Yrs
Regional Practice Density
10 Specialists

Practicing in Minnetonka, MN (3492 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-08
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License AZ RN068583

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003059478

NURSEPRACTITIONER

Alane Hartlage , NP

Nurse Practitioner - Gerontology

NPI 1003086703

Nurse Practitioner

Dawn Schaefer , NP

Nurse Practitioner

NPI 1003183880

Nurse Practitioner

Mellen Townsend

Nurse Practitioner - Family

NPI 1003462284
Raul Rodriguez , FNP

Nurse Practitioner - Family

NPI 1013261379

Family Nurse Practitioner

Karry Audain , APRN

Nurse Practitioner - Family

NPI 1013338441

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 08, 2020

Registered at 9900 BREN RD E, MINNETONKA, MN 553439664 (Tel: 6027023825)

📍
Updated Business Mailing Address July 08, 2020

Registered at 5444 E LEWIS AVE, PHOENIX, AZ 850082616 (Tel: 6027023825)

👤
Provider Name / Credentials Updated July 08, 2020

Recorded as KENNETH WYSOCKI, PHD, FNP

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 500 N 3RD ST, MAIL CODE 2920, PHOENIX, AZ 850040698 (Tel: 6024960721)

📍
Updated Business Mailing Address July 08, 2007

Registered at 107 E PALM LN UNIT A, PHOENIX, AZ 850041562 (Tel: 4802417798)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEN WYSOCKI, MS, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Registered Nurse (License #RN068583 in AZ)

🟢
Initial NPI Registration & Enumeration February 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720128069
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2007
Last Update: July 08, 2020
Sole Proprietor: No

Mailing Address

5444 E Lewis Ave

Phoenix, AZ 850082616

Phone: 6027023825

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.