Wendy L Wolfe

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

15500 Issued in OH

Practice address

200 Kienle Dr
Piqua, OH 45356-4120

Phone

(937) 339-5355

Fax

(937) 773-3980

NPI assigned

Jan 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gemini Healthandwellness LLCGroup PAC ID 8820463219, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upper Valley Medical Center Hospital, Troy, OH, CCN 360174

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wendy.wolfe@krogerhealth.eclinicaldirectplus.com

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.

• Gemini Health&Wellness LLC

  • Primary Care Clinic/Center
  • Troy, OH
  • NPI 1336852615
  Medicare reassignment Care Compare group NPD Authorized official
• Kettering Independent Medical Group Inc

  • Orthopaedic Surgery Physician
  • Miamisburg, OH
  • NPI 1629387865
  Medicare reassignment NPD
• The Little Clinic of Ohio LLC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1982761896
  Medicare reassignment NPD
• Rivers Edge Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Troy, OH
  • NPI 1174385132
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

• Upper Valley Medical Center

  • General Acute Care Hospital
  • Troy, OH
  • NPI 1184638942
  Care Compare affiliation

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1275954679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KIENLE DR",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564120",
            "telephone_number": "937-339-5355",
            "fax_number": "937-773-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KIENLE DR",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564120",
            "telephone_number": "937-339-5355",
            "fax_number": "937-773-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "WENDY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "15500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103598",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "200 Kienle Dr",
            "city": "Piqua",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453564120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wwolfe567102@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "200 Kienle Dr",
            "city": "Piqua",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453564120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole R Williams
• Chastity Willis
• Mary Willis
• Amy M Wilson, L.P.N
• Wanda Kay Wirrig, LPN
• Women First Wellness Center
• Erica Nicole Wood, CNP
• Robin Wright
• Angela Maria Yahl, PTA
• Julianna Yingst

• Family Nurse Practitioner in Piqua, OH
• Providers in Piqua, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.

Verify at the official NPI Registry.