Active NPI
Kerri V. Woelfle, FNP
- Family Nurse Practitioner
- Rancho Mirage, CA
National Provider Identifier
1083640296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP23853
- Practice address
- 39000 Bob Hope Dr
Cardiology Department
Rancho Mirage, CA 92270-3221 - Phone
- (760) 340-3911
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | 200250120NP | OR | |
| Family Nurse Practitioner | 363LF0000X | NP23853 | CA | Primary |
Addresses
Primary practice location
39000 Bob Hope Dr
Cardiology Department
Rancho Mirage, CA 92270-3221
Mailing address
39000 Bob Hope Dr
Cardiology Department
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP23853 | CA | MD | Family Nurse Practitioner |
| 200250120NP | OR | MD | Family Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firstcare Medical Foundation | Past | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Past | Accepting new patients |
Interoperability endpoints
- kwoelfle267234@direct.llu.edu
- kerri.woelfle.1@17725.direct.athenahealth.com
- kwoelfle@landmarkhealth-direct.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Albany, OR
- NPI 1740216498
-
- Durable Medical Equipment & Medical Supplies
- Corvallis, OR
- NPI 1477851186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1083640296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"address_2": "CARDIOLOGY DEPARTMENT",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-340-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"address_2": "CARDIOLOGY DEPARTMENT",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-340-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOELFLE",
"first_name": "KERRI",
"middle_name": "V.",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "OR",
"license": "200250120NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP23853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.