Individual provider Active NPI

Stephanie Wolfe, FNP

  • Family Nurse Practitioner
  • Del Rio, TX
National Provider Identifier
1194278598
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131271 Issued in TX
Practice address
913 S Main St
Del Rio, TX 78840-5807
Phone
(830) 774-5534
Fax
(830) 774-0890
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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 AP131271 TX Primary

Addresses

Primary practice location

913 S Main St
Del Rio, TX 78840-5807

Mailing address

PO Box 1470
Eagle Pass, TX 78853-1470
Phone (830) 773-6963

Other identifiers 2

IdentifierTypeStateIssuer
AP131271OtherTXAPRN LICENSE
F06161019OtherTXAANP CERTIFICATE - NP-C

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
I20161108001910 TX Practitioner - Nurse Practitioner 0547549917

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ikechukwu Osuji, M.D PA CurrentSince Sep 18, 2017 Accepting new patients
Adonai Family Health Center L.L.C. Past Accepting new patients

Locations

333 N Shiloh Rd
Ste 107
Garland, TX 75042
Phone (945) 260-3205

1140 W Main St
Lewisville, TX 75067
Phone (972) 956-5558

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1194278598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1470",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788531470",
            "telephone_number": "830-773-6963",
            "fax_number": "830-757-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S MAIN ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788405807",
            "telephone_number": "830-774-5534",
            "fax_number": "830-774-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "STEPHANIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "AP131271",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP CERTIFICATE - NP-C",
            "identifier": "F06161019",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

Verify at the official NPI Registry.