Individual provider Active NPI

Audra Leigh Wolfe, APRN

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1104301548
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139026 Issued in TX
Practice address
9805 Brodie LN
Austin, TX 78748-5610
Phone
(512) 610-8421
Fax
(512) 394-9388
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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 AP139026 TX Primary

Addresses

Primary practice location

9805 Brodie LN
Austin, TX 78748-5610

Mailing address

9805 Brodie LN
Austin, TX 78748-5610
Phone (512) 610-8421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201125000727 TX Practitioner - Nurse Practitioner 4688085566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aa OBGYN PLLCGroup PAC ID 6103079462, 38 clinicians

Practice addresses (Care Compare)

12200 Renfert Way
Suite 100
Austin, TX 78758-5614
Phone (512) 451-8211

Merit-based Incentive Payment System (MIPS)

Final score
82.65 of 100Reported as group
Quality
92.24
Promoting interoperability
100
Improvement activities
40
Cost
49.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP139026TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aa OBGYN PLLC CurrentSince Oct 1, 2020 Accepting new patients
Hill Country OBGYN Associates PA PastSince Sep 1, 2016 Accepting new patients
Unified Women'S Healthcare of Texas PLLC PastSince Aug 1, 2023 Accepting new patients

Locations

12200 Renfert Way
Ste 100
Austin, TX 78758
Phone (512) 451-8211

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1104301548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 BRODIE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485610",
            "telephone_number": "512-610-8421",
            "fax_number": "512-394-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9805 BRODIE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485610",
            "telephone_number": "512-610-8421",
            "fax_number": "512-394-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "AUDRA",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.