NPIMap

Individual provider Active NPI

Krysta Lee Wolken, NP-C

  • Family Nurse Practitioner
  • Sonora, CA
National Provider Identifier
1073914347
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001276 Issued in CA
Practice address
900 Greenley Rd Ste 922
Sonora, CA 95370-5287
Phone
(209) 536-3750
NPI assigned
Sep 5, 2014
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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 95001276 CA Primary

Addresses

Primary practice location

900 Greenley Rd Ste 922
Sonora, CA 95370-5287

Mailing address

21842 Lyons Bald Mountain Rd
Sonora, CA 95370-8768
Phone (209) 536-9183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141223001945 CA Practitioner - Nurse Practitioner 1153644133 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, shared by 10 NPIs, 134 clinicians

Practice addresses (Care Compare)

14540 Mono Way
Sonora, CA 95370-8858
Phone (209) 536-6680

193 Fairview LN
Sonora, CA 95370-4828
Phone (209) 536-5100

23 N Main St
Suite 101
Angels Camp, CA 95222-8001
Phone (209) 736-9130

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

900 Greenley Rd
Suite 922
Sonora, CA 95370-5287
Phone (209) 536-3750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
81.74
Promoting interoperability
97
Improvement activities
40
Cost
67.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital CurrentSince Nov 8, 2022 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Dec 1, 2023 Accepting new patients
Adventist Health Physicians Network CurrentSince Dec 1, 2023 Accepting new patients
Sonora Community Hospital CurrentSince Oct 3, 2014 Accepting new patients
Sonora Community Hospital CurrentSince Oct 3, 2014 Accepting new patients
Sonora Community Hospital CurrentSince May 1, 2020 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Sonora Community Hospital Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

23 N Main St
Angels Camp, CA 95222
Phone (209) 736-9130

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

12811 Covey Cir
Sonora, CA 95370
Phone (209) 536-1785

14540 State Highway 108
Sonora, CA 95370
Phone (209) 532-3167

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

193 Fairview Ln
Ste F
Sonora, CA 95370
Phone (209) 536-3277

680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

900 Greenley Rd
Ste 922
Sonora, CA 95370
Phone (209) 536-3738

900 Mono Way
Sonora, CA 95370
Phone (209) 536-6920

Organizations & group practices 12

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 12

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": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1073914347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21842 LYONS BALD MOUNTAIN RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708768",
            "telephone_number": "209-536-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GREENLEY RD STE 922",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705287",
            "telephone_number": "209-536-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLKEN",
        "first_name": "KRYSTA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.