Individual provider Active NPI

Wendi Amber Wolfe, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Henderson, TX
National Provider Identifier
1154022309
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1111070 Issued in TX
Practice address
1115 US Highway 259 S
Henderson, TX 75654-3629
Phone
(903) 392-8203
Fax
(866) 835-6516
NPI assigned
Mar 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1111070 TX Primary

Addresses

Primary practice location

1115 US Highway 259 S
Henderson, TX 75654-3629

Mailing address

PO Box 489
Mt Enterprise, TX 75681-0489
Phone (903) 822-3076

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
I20230724001780 TX Practitioner - Nurse Practitioner 6507226420 Reassigns benefits to 2 organizations
Practice locations: Tyler, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt Enterprise Community Health ClinicGroup PAC ID 2860303922, 12 clinicians

Practice addresses (Care Compare)

1115 US Hwy 259 S
Henderson, TX 75654-3629
Phone (903) 392-8203

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Enterprise Community Health Clinic CurrentSince Oct 14, 2024 Accepting new patients
Obhg Texas Holdings, P.a. CurrentSince May 1, 2023 Accepting new patients
Mt Enterprise Community Health Clinic Current Accepting new patients
Mt Enterprise Community Health Clinic CurrentSince Oct 14, 2024 Accepting new patients

Locations

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

1115 US Highway 259 S
Henderson, TX 75654
Phone (903) 392-8203

4002 S Loop 256
Ste K
Palestine, TX 75801
Phone (903) 723-0600

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Organizations & group practices 4

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": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1154022309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "MT ENTERPRISE",
            "state": "TX",
            "postal_code": "756810489",
            "telephone_number": "903-822-3076",
            "fax_number": "866-835-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 US HIGHWAY 259 S",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756543629",
            "telephone_number": "903-392-8203",
            "fax_number": "866-835-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "WENDI",
        "middle_name": "AMBER",
        "credential": "APRN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1111070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TX

Sources for this page

Verify at the official NPI Registry.