Individual provider Active NPI

Leslie M Wolf, APRN

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1235354572
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110793 Issued in NE
Practice address
8901 Indian Hills Dr
Suite 200
Omaha, NE 68114-4057
Phone
(402) 397-7057
Fax
(402) 397-6656
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 110793 NE Primary
Nurse Practitioner 363L00000X A116276 IA

Addresses

Primary practice location

8901 Indian Hills Dr
Suite 200
Omaha, NE 68114-4057

Mailing address

8901 Indian Hills Dr
Suite 200
Omaha, NE 68114-4057
Phone (402) 397-7057

Other identifiers 1

IdentifierTypeStateIssuer
47077295213MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070816000880 IA Practitioner - Nurse Practitioner 3577655745 Reassigns benefits to 3 organizations
I20080424000730 NE Practitioner - Nurse Practitioner 3577655745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shelby County Chris a Myrtue Memorial HospitalGroup PAC ID 5193619393, shared by 12 NPIs, 49 clinicians
Midwest Gastrointestinal Associates PCGroup PAC ID 3779575766, 54 clinicians

Practice addresses (Care Compare)

1213 Garfield Ave
Harlan, IA 51537-2057
Phone (712) 755-5161

16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (402) 717-8000

17001 Lakeside Hills PLZ
Omaha, NE 68130-4670

2500 Bellevue Medical Ctr Dr
Bellevue, NE 68123-1591
Phone (402) 763-3600

808 E Pierce St
Suite 301
Council Bluffs, IA 51503-4603
Phone (712) 396-2997

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4000

8901 Indian Hills Dr
Omaha, NE 68114-4032

933 E Pierce St
Council Bluffs, IA 51503-4626
Phone (712) 396-6000

Hospital & facility affiliations

  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
  • Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
  • Myrtue Medical Center Hospital, Harlan, IA, CCN 161374
  • Bellevue Medical Center Hospital, Bellevue, NE, CCN 280132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116276IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby County Chris a. Myrtue Memorial Hospital Nurse Practitioner CurrentSince Jan 23, 2020 Accepting new patients
Shelby County Chris a Myrtue Memorial Hospital Current Accepting new patients
Midwest Gastrointestinal Associates PC Nurse Practitioner CurrentSince Mar 1, 2008 Accepting new patients
Jennie Edmundson Memorial Hospital Nurse Practitioner Past Accepting new patients

Locations

808 E Pierce St
Ste 301
Council Bluffs, IA 51503
Phone (712) 396-2997

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

1213 Garfield Ave
Harlan, IA 51537
Phone (712) 755-4316

17001 Lakeside Hills Plz
Ste 200
Omaha, NE 68130
Phone (402) 885-8700

17001 Lakeside Hills Plz
Ste 100
Omaha, NE 68130
Phone (402) 614-6336

8901 Indian Hills Dr
Ste 200
Omaha, NE 68114
Phone (402) 397-7057

Interoperability endpoints

  • Direct secure messaging: lwolf173830@uihcdirect.org

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1235354572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144057",
            "telephone_number": "402-397-7057",
            "fax_number": "402-397-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144057",
            "telephone_number": "402-397-7057",
            "fax_number": "402-397-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "LESLIE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110793",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A116276",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47077295213",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.