Individual provider Active NPI

Jenna Nicole Wolfe

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1275243602
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.008175RX Issued in OH
Practice address
463 Ohio Pike
Cincinnati, OH 45255-3721
Phone
(513) 354-3700
Fax
(513) 528-1209
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.008175RX OH Primary

Addresses

Primary practice location

463 Ohio Pike
Cincinnati, OH 45255-3721

Mailing address

1001 Brookville CT
Villa Hills, KY 41017-4482
Phone (513) 646-4257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230613000733 OH Practitioner - Physician Assistant 4486011004 Reassigns benefits to 1 organization
I20230801003746 KY Practitioner - Physician Assistant 4486011004 Reassigns benefits to 1 organization
I20230928003218 IN Practitioner - Physician Assistant 4486011004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4859 Nixon Park Dr
Mason, OH 45040-8106
Phone (513) 354-3700

500 E Business Way
Cincinnati, OH 45241-2374
Phone (513) 251-7827

6480 Harrison Ave
Cincinnati, OH 45247-7821
Phone (513) 354-3700

6480 Harrison Ave
Suite 201
Cincinnati, OH 45247-7961

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TC387KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine, LTD Physician Assistant CurrentSince Jun 19, 2023 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Jun 19, 2023 Accepting new patients

Locations

605 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 496-8779

605 Wilson Creek Rd
Ste 1
Lawrenceburg, IN 47025
Phone (513) 574-5400

600 Rodeo Dr
Erlanger, KY 41018
Phone (513) 574-5400

775 Alexandria Pike
Fort Thomas, KY 41075
Phone (859) 572-1689

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

463 Ohio Pike
Cincinnati, OH 45255
Phone (513) 528-0107

500 E Business Way
Ste A
Cincinnati, OH 45241
Phone (513) 389-3666

463 Ohio Pike
Ste 203
Cincinnati, OH 45255
Phone (513) 247-4340

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

500 E Business Way
Sharonville, OH 45241
Phone (513) 251-7827

Interoperability endpoints

  • Direct secure messaging: jenna.wolfe.p1@direct.beaconortho.nextgenshare.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.

Hospital & facility affiliations 6

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1275243602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BROOKVILLE CT",
            "city": "VILLA HILLS",
            "state": "KY",
            "postal_code": "410174482",
            "telephone_number": "513-646-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 OHIO PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553721",
            "telephone_number": "513-354-3700",
            "fax_number": "513-528-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "JENNA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008175RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.