Kalli M Wolf, APRN, CMW

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

121796 Issued in OK

Practice address

2104 Banbury LN
Oklahoma City, OK 73170-3401

Phone

(405) 203-5382

NPI assigned

Jan 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, NM2 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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Integris Health Allset Urgent Care LLCGroup PAC ID 3173972627, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24561/brand/1/csg/1/fhir/r4

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.

• Integris Health Allset Urgent Care LLC

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1164107256
  Medicare reassignment Care Compare group NPD
• River Wolf Gynecology & Family Health, PLLC

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1205408481
  Medicare reassignment NPD Authorized official
• Integris Ambulatory Care Corporation

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936
  Medicare reassignment NPD
• Hidalgo Medical Services

  • Federally Qualified Health Center (FQHC)
  • Lordsburg, NM
  • NPI 1306843180
  Medicare reassignment NPD
• Express Family Care Northwest

  • Urgent Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1033754502
  NPD
• Hidalgo Medical Services

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
  • NPI 1063759330
  NPD
• Hidalgo Medical Services

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
  • NPI 1467971986
  NPD
• Integris Ambulatory Care C Orporation

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1326076027
  NPD (past)
• Panhandle Womens Center P L L C

  • Specialist
  • Guymon, OK
  • NPI 1336172857
  NPD (past)

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1033627187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 BANBURY LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731703401",
            "telephone_number": "405-203-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 BANBURY LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731703401",
            "telephone_number": "405-203-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "KALLI",
        "middle_name": "M",
        "credential": "APRN, CMW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": "CNM04688",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "121796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200776420A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Jennings Wojcik, MD
• Rachel Louise Wolansky
• Ray Wolber
• Andrea Rae Wolf, PT
• Julia Wolf, ARNP
• Stephen P Wolf, MD
• Terry Lynn Grigg Wolf, MD
• Avery Wolfe, MD
• Colleen Marie Wolfe
• Ebony Wolfe, NP-C

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.