Individual provider Active NPI

Gretchen McCord Wolbert, CRNP

  • Family Nurse Practitioner
  • Clarion, PA
National Provider Identifier
1245777960
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016892 Issued in PA
Practice address
840 Wood St
256 Becht Hall
Clarion, PA 16214-1240
Phone
(814) 393-2121
Fax
(814) 393-2035
NPI assigned
Jan 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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 SP016892 PA Primary

Addresses

Primary practice location

840 Wood St
256 Becht Hall
Clarion, PA 16214-1240

Mailing address

PO Box 11
411 Maple Drive
Lucinda, PA 16235-0011
Phone (814) 226-9091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 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
I20170809001232 PA Practitioner - Nurse Practitioner 2163793100 Reassigns benefits to 1 organization
I20260108002367 NY Practitioner - Nurse Practitioner 2163793100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

411 Maple Dr
Lucinda, PA 16235-2116

424 Church St
Nashville, TN 37219-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adagio Health Inc. CurrentSince Mar 15, 2021 Accepting new patients
Adagio Health Inc. Family CurrentSince Mar 15, 2021 Accepting new patients
Matrix Medical of New York PC CurrentSince Jan 1, 2026 Accepting new patients
Adagio Health Inc. Family Current Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032

323 Sunset Dr
Ste 2
Butler, PA 16001
Phone (724) 282-2730

118 E Plum St
Edinboro, PA 16412
Phone (814) 734-7600

3292 State Route 257
Seneca, PA 16346
Phone (814) 676-1811

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Interoperability endpoints

  • Direct secure messaging: gretchen.mccordwolbert.p6@direct.adagiohealth.nextgenshare.com

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": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1245777960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "address_2": "411 MAPLE DRIVE",
            "city": "LUCINDA",
            "state": "PA",
            "postal_code": "162350011",
            "telephone_number": "814-226-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WOOD ST",
            "address_2": "256 BECHT HALL",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141240",
            "telephone_number": "814-393-2121",
            "fax_number": "814-393-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORD WOLBERT",
        "first_name": "GRETCHEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, PA

Sources for this page

Verify at the official NPI Registry.