Individual provider Active NPI

Lindsay Dewolfe, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1114698313
Registry record updated Apr 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220285 Issued in AZ
Practice address
5681 W Beverly LN Ste 100
Glendale, AZ 85306-9800
Phone
(480) 443-8400
NPI assigned
Sep 27, 2021
Last updated
Apr 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 220285 AZ
Family Nurse Practitioner 363LF0000X 220285 AZ Primary

Addresses

Primary practice location

5681 W Beverly LN Ste 100
Glendale, AZ 85306-9800

Mailing address

5681 W Beverly LN Ste 100
Glendale, AZ 85306-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220425002015 AZ Practitioner - Nurse Practitioner 2769879519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arizona College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Arthritis and Rheumatology Associates P CGroup PAC ID 8123912516, 63 clinicians

Practice addresses (Care Compare)

4550 E Bell Rd
Phoenix, AZ 85032-9385
Phone (480) 443-8400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220285AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Arthritis & Rheumatology Associates P C CurrentSince Apr 19, 2022 Accepting new patients
Arizona Arthritis and Rheumatology Associates CurrentSince Apr 19, 2022 Accepting new patients

Locations

5681 W Beverly Ln
Ste 100
Glendale, AZ 85306
Phone (480) 443-8697

4550 E Bell Rd
Ste 170
Phoenix, AZ 85032
Phone (460) 443-8400

9520 W Palm Ln
Ste 220
Phoenix, AZ 85037

Interoperability endpoints

  • Direct secure messaging: lindsay.dewolfe.p1@direct.aara.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650153600000",
    "number": "1114698313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5681 W BEVERLY LN STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853069800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5681 W BEVERLY LN STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853069800",
            "telephone_number": "480-443-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWOLFE",
        "first_name": "LINDSAY",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2022-04-17",
        "certification_date": "2022-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "220285",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "220285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.