Individual provider Active NPI

Kevin Wolfe, APRN

  • Family Nurse Practitioner
  • Portsmouth, OH
National Provider Identifier
1003151150
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13506-NP Issued in OH
Practice address
2001 Scioto TRL
Ste 200
Portsmouth, OH 45662-2845
Phone
(740) 353-8100
Fax
(740) 353-8908
NPI assigned
Nov 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007555 KY
Family Nurse Practitioner 363LF0000X 13506-NP OH Primary

Addresses

Primary practice location

2001 Scioto TRL
Ste 200
Portsmouth, OH 45662-2845

Mailing address

PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200

Other identifiers 3

IdentifierTypeStateIssuer
0083552MedicaidOH
7100241090MedicaidKY
3810025857MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130611000613 OH Practitioner - Nurse Practitioner 7113166711 Reassigns benefits to 3 organizations
I20130611000674 KY Practitioner - Nurse Practitioner 7113166711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1242 Crescent Dr
Wheelersburg, OH 45694-9376
Phone (740) 574-8441

1901 Argonne Rd
Portsmouth, OH 45662-2827
Phone (740) 353-1978

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3007555KYMDFamily Nurse Practitioner
13506-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Family CurrentSince Sep 13, 2015 Accepting new patients
Ashland Hospital Corporation CurrentSince Jun 1, 2020 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jul 5, 2014 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Ashland Hospital Corporation Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jul 5, 2014 Accepting new patients
Portsmouth Hospital Corporation CurrentSince May 11, 2015 Accepting new patients
Ashland Hospital Corporation CurrentSince Sep 13, 2015 Accepting new patients

Locations

613 23rd St
Ste 230
Ashland, KY 41101
Phone (606) 324-4745

2245 Winchester Ave
Ashland, KY 41101
Phone (606) 408-2600

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

398 Diederich Blvd
Ashland, KY 41101
Phone (606) 324-2055

1061 Kenwood Dr
Russell, KY 41169
Phone (606) 326-1675

419 Vernon St
Ironton, OH 45638
Phone (740) 479-5120

2001 Scioto Trl
Ste 205
Portsmouth, OH 45662
Phone (740) 353-8100

2001 Scioto Trl
Ste 300
Portsmouth, OH 45662
Phone (740) 353-6390

1901 Argonne Rd
Portsmouth, OH 45662
Phone (740) 991-0911

2001 Scioto Trl
Ste 200
Portsmouth, OH 45662
Phone (740) 353-8100

384 County Road 120 S
South Point, OH 45680
Phone (740) 894-2080

1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1003151150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SCIOTO TRL",
            "address_2": "STE 200",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622845",
            "telephone_number": "740-353-8100",
            "fax_number": "740-353-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "KEVIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-30",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007555",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "13506-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083552",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100241090",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810025857",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.