Individual provider Active NPI

Karl Edward Wolfe, PA-C

  • Physician Assistant
  • Jonesville, MI
National Provider Identifier
1013932391
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003686 Issued in MI
Practice address
216 Olds St
Jonesville, MI 49250-1128
Phone
(517) 849-7100
Fax
(517) 849-4056
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601003686 MI Primary

Addresses

Primary practice location

216 Olds St
Jonesville, MI 49250-1128

Mailing address

216 Olds St
Jonesville, MI 49250-1128
Phone (517) 849-7100

Other identifiers 2

IdentifierTypeStateIssuer
4511135MedicaidMI
5300015OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060104000372 MI Practitioner - Physician Assistant 8123041233 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601003686MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jonesville Healthcare PLLC CurrentSince Aug 3, 2010 Accepting new patients
The Family Practice and Orthopedic Care Center PLLC Past Accepting new patients
W.a. Foote Memorial Hospital, Inc Physician Assistant Past Accepting new patients

Locations

206 Olds St
Jonesville, MI 49250
Phone (517) 849-7100

216 Olds St
Jonesville, MI 49250
Phone (517) 849-7100

Interoperability endpoints

  • Direct secure messaging: karlwolfe@jhc.allscriptsdirect.net
  • Direct secure messaging: kwolfe719349@direct.hfhs.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1013932391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 OLDS ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492501128",
            "telephone_number": "517-849-7100",
            "fax_number": "517-849-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 OLDS ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492501128",
            "telephone_number": "517-849-7100",
            "fax_number": "517-849-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "KARL",
        "middle_name": "EDWARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4511135",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5300015",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, MI

Sources for this page

Verify at the official NPI Registry.