Individual provider Active NPI

Alisa Rummel Wolner, D.O.

  • Obstetrics & Gynecology Physician
  • Grand Blanc, MI
National Provider Identifier
1033129549
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5315215959 Issued in MI
Practice address
3434 Regency Park Dr Ste a
Grand Blanc, MI 48439-2567
Phone
(810) 694-9400
Fax
(810) 694-9445
NPI assigned
Aug 8, 2006
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5315215959 MI Primary

Addresses

Primary practice location

3434 Regency Park Dr Ste a
Grand Blanc, MI 48439-2567

Mailing address

3434 Regency Park Dr Ste a
Grand Blanc, MI 48439-2567
Phone (810) 694-9400

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728002120 MI Practitioner - Obstetrics/Gynecology 3173623022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Specialty Associates, P.C.Group PAC ID 4284641713, 4 clinicians

Practice addresses (Care Compare)

3434 Regency Park Dr
Suite a
Grand Blanc, MI 48439-2567
Phone (810) 694-9400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5315215959MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Genesys Hospital CurrentSince Aug 1, 2020 Accepting new patients
Womens Specialty Associates, P.C. Obstetrics & Gynecology CurrentSince Aug 1, 2020 Accepting new patients
Henry Ford Health Genesys Hospital Obstetrics & Gynecology CurrentSince Aug 1, 2020 Accepting new patients
Henry Ford Health Genesys Hospital Current Accepting new patients
Henry Ford Health Genesys Hospital Past Accepting new patients

Locations

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

3434 Regency Park Dr
Ste A
Grand Blanc, MI 48439
Phone (810) 694-9400

Interoperability endpoints

  • Direct secure messaging: awolner1158078@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 5

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

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1033129549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 REGENCY PARK DR STE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392567",
            "telephone_number": "810-694-9400",
            "fax_number": "810-694-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 REGENCY PARK DR STE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392567",
            "telephone_number": "810-694-9400",
            "fax_number": "810-694-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLNER",
        "first_name": "ALISA",
        "middle_name": "RUMMEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5315215959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.