Individual provider Active NPI

Natalee Blair Wolfe, FNP

  • Family Nurse Practitioner
  • Crockett, TX
National Provider Identifier
1245798412
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140909 Issued in TX
Practice address
1050 E Loop 304 Ste 200
Crockett, TX 75835-1800
Phone
(936) 544-5132
NPI assigned
Mar 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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 AP140909 TX Primary

Addresses

Primary practice location

1050 E Loop 304 Ste 200
Crockett, TX 75835-1800

Mailing address

1050 E Loop 304 Ste 200
Crockett, TX 75835-1800

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
I20190424002093 TX Practitioner - Nurse Practitioner 0042588063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merci, LLCGroup PAC ID 2769750967, 2 clinicians

Practice addresses (Care Compare)

123 Busy Bee St
Alto, TX 75925-6258
Phone (936) 858-2327

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Merci, LLC CurrentSince Apr 14, 2020 Accepting new patients

Locations

123 Busy Bee St
Alto, TX 75925
Phone (936) 642-0841

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IABJDD/Endpoint/IABJDD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alto Family Medical ClinicAlto, TX, CCN 673939 Rural health clinic 5% Or Greater Direct Ownership Interest
W-2 Managing Employee
Aug 31, 2023
Feb 15, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 3

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": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1245798412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E LOOP 304 STE 200",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E LOOP 304 STE 200",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351800",
            "telephone_number": "936-544-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "NATALEE",
        "middle_name": "BLAIR",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crockett, TX

Sources for this page

Verify at the official NPI Registry.