Individual provider Active NPI

Irene R Wolf, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Cottage Grove, OR
National Provider Identifier
1023443173
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10009004 Issued in OR
Practice address
1445 Gateway Blvd
Cottage Grove, OR 97424-1224
Phone
(541) 942-7000
Fax
(541) 942-7429
NPI assigned
Sep 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10009004 OR Primary

Addresses

Primary practice location

1445 Gateway Blvd
Cottage Grove, OR 97424-1224

Mailing address

1445 Gateway Blvd
Cottage Grove, OR 97424-1224
Phone (541) 942-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NH, CT, ME, TN, OR6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20220915003180 WI Practitioner - Nurse Practitioner 3173758034
I20221003003058 NH Practitioner - Nurse Practitioner 3173758034
I20230310000242 CT Practitioner - Nurse Practitioner 3173758034
I20230427000971 ME Practitioner - Nurse Practitioner 3173758034 Reassigns benefits to 1 organization
I20230627002025 TN Practitioner - Nurse Practitioner 3173758034
I20250805001595 OR Practitioner - Nurse Practitioner 3173758034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icco LLCGroup PAC ID 1355406729, 133 clinicians

Practice addresses (Care Compare)

1445 Gateway Blvd
Cottage Grove, OR 97424-1224
Phone (541) 942-7000

Hospital & facility affiliations

  • Peacehealth Cottage Grove Community Medical Center Hospital, Cottage Grove, OR, CCN 381301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icco, LLC CurrentSince Jun 18, 2025 Accepting new patients
Openloop Healthcare Partners Colorado, PC Nurse Practitioner CurrentSince Aug 3, 2022 Accepting new patients
Icco LLC CurrentSince Jun 18, 2025 Accepting new patients
Accelerated Medical PLLC CurrentSince Nov 12, 2023 Accepting new patients
Openloop Healthcare Partners Wisconsin, SC Nurse Practitioner CurrentSince Jul 20, 2022 Accepting new patients
Icco, LLC Current Accepting new patients
Imaging Resource Centers LTD PastSince Apr 12, 2023 Accepting new patients
Icco, LLC Past Accepting new patients

Locations

1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970

175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720

16701 Melford Blvd
Ste 400
Bowie, MD 20715
Phone (202) 836-7776

1810 Pinion Rd
Elko, NV 89801
Phone (775) 738-7178

1445 Gateway Blvd
Cottage Grove, OR 97424
Phone (541) 767-3023

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611

1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

101 S Reid St
Ste 307
Sioux Falls, SD 57103
Phone (605) 221-6244

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

301 S Bedford St
Madison, WI 53703
Phone (415) 651-3458

301 S Bedford St
Ste 1
Madison, WI 53703
Phone (773) 766-9444

342 N Water St
Ste 600
Milwaukee, WI 53202
Phone (414) 296-6189

Organizations & group practices 9

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 1

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": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1023443173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 GATEWAY BLVD",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241224",
            "telephone_number": "541-942-7000",
            "fax_number": "775-738-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 GATEWAY BLVD",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241224",
            "telephone_number": "541-942-7000",
            "fax_number": "541-942-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "IRENE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10009004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, OR

Sources for this page

Verify at the official NPI Registry.