Suzanne Wolf, FNP RN MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

64779 Issued in SC

Practice address

Beaufort Memorial Obstetrics & Gynecology Specialists
989 Ribaut Rd, Ste 210
Beaufort, SC 29902-5472

Phone

(843) 522-7820

Fax

(844) 296-2295

NPI assigned

Dec 16, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

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.

• Beaufort County Memorial Hospital

  • Emergency Medicine Physician
  • Beaufort, SC
  • NPI 1871335018
  Medicare reassignment
• Beaufort County Memorial Hospital

  • General Practice Physician
  • Beaufort, SC
  • NPI 1336180165
  NPD
• Beaufort County Memorial Hospital

  • Certified Registered Nurse Anesthetist
  • Beaufort, SC
  • NPI 1467423178
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1174509632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "address_2": "BMAC CREDENTIALING",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025441",
            "telephone_number": "843-522-5674",
            "fax_number": "843-522-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS",
            "address_2": "989 RIBAUT RD, STE 210",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025472",
            "telephone_number": "843-522-7820",
            "fax_number": "844-296-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "FNP RN MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "64779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3038",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren Paul Wise
• Monica F. Wiser, M.A., CCC-A
• Dominika Sara Wisniewska, DMD
• Richard Herman Woerndle, DO
• Karen Konomi Wolf, DMD
• Audrey M Woodley-Cruz, FNP-BC
• Matthew Shaun Woodruff, IDC
• Katherine Elizabeth Workman, PTA
• Wright Choice Diagnosis Center
• Angela Wright, LPCA

• Family Nurse Practitioner in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.