Active NPI
Chad Ashton Wolf
- Family Nurse Practitioner
- Mason, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.17869
- Practice address
- 5100 Terra Firma Dr
Mason, OH 45040 - Phone
- (513) 492-5787
- NPI assigned
- Jul 28, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.17869 | OH | Primary |
Addresses
Primary practice location
5100 Terra Firma Dr
Mason, OH 45040
Mailing address
2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200
Other practice location 1
446 Morgan St
Cincinnati, OH 45206-2348
Phone (513) 834-7063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0143246 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.78 of 100
- Quality
- 71.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.17869 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Little Clinic of Ohio LLC | Family | Current | Accepting new patients |
| Kiosk Medicine Kentucky LLC | Family | Current | Accepting new patients |
Locations
2150 Dixie Hwy
Ft Mitchell, KY 41017
Phone (859) 292-1784
9080 Taylorsville Rd
Louisville, KY 40299
Phone (502) 491-8805
3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555
375 Cross Roads Blvd
Newport, KY 41076
Phone (859) 448-1170
199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814
5100 Terra Firma Dr
Mason, OH 45040
Phone (513) 229-5920
Interoperability endpoints
- chad.wolf@krogerhealth.eclinicaldirectplus.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 and National Provider Directory roles.
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1205885035
-
- Family Nurse Practitioner
- Cincinnati, OH
- NPI 1982761896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530489600000",
"number": "1205211661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 ELM HILL PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143108",
"telephone_number": "615-425-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 TERRA FIRMA DR",
"city": "MASON",
"state": "OH",
"postal_code": "45040",
"telephone_number": "513-492-5787"
}
],
"practiceLocations": [
{
"address_1": "446 Morgan St",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452062348",
"country_code": "US",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLF",
"first_name": "CHAD",
"middle_name": "ASHTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-28",
"last_updated": "2018-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.17869",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0143246",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.