Andrea Suzette Wolfe

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

AMD-1020 Issued in HI

Practice address

BLDG 683 Waianae Ave
Schofield Barracks, HI 96786

Phone

(910) 286-6905

NPI assigned

Oct 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Suzette Wideman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1083949911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 WAIANAE AVE",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "96786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 683 WAIANAE AVE",
            "city": "SCHOFIELD BARRACKS",
            "state": "HI",
            "postal_code": "96786",
            "telephone_number": "910-286-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "ANDREA",
        "middle_name": "SUZETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "HI",
            "license": "AMD-1020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "WIDEMAN",
            "middle_name": "SUZETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ava Walton, MD
• Rhea Wehr, COTA/L
• Kristina Maria West, RN
• Paul E Whelan, PA-C
• Aimee Williams, RN
• Garrett Grant Wood, D.D.S.
• Michelle Worsley
• Cecil Grey Yeatts III, AU.D.
• Justin Kiyoshi Yoshida, PHARM.D

• Medical Physician Assistant in Schofield Barracks, HI
• Providers in Schofield Barracks, HI by specialty
• Medical Physician Assistant in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.