Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jeffrey Paul Wiencek, FNP

Individual provider Family Nurse Practitioner · NPI 1174508840

Mr. Jeffrey Paul Wiencek, FNP is a Nurse Practitioner in Michigan City, Indiana. Qualified in 1996, 30 years ago. Practices with Franciscan Physician Network, a 1,171-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
30
Licensed in
IN
In the registry since
2005
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3723 Franklin St
Michigan City, IN 46360-7310
Phone: (219) 874-3313
Fax: (219) 878-2330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71000502A (IN)

Record details

NPI number1174508840
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 14, 2005
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Franciscan Physician Network — 1171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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