Active NPI
Jeni Marie Wolfe, FNP-C
- Family Nurse Practitioner
- Cheyenne, WY
National Provider Identifier
1285303099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 48105
- Practice address
- 2622 Pioneer Ave
Cheyenne, WY 82001-3024 - Phone
- (307) 631-1380
- Fax
- (307) 632-3298
- NPI assigned
- Sep 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 48105 | WY | Primary |
Addresses
Primary practice location
2622 Pioneer Ave
Cheyenne, WY 82001-3024
Mailing address
1267 Cole Rd
Cheyenne, WY 82009-7436
Phone (307) 631-2889
Other practice location 1
1267 Cole Rd
Cheyenne, WY 82009-7436
Phone (307) 631-2889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260108001567 | WY | Order and Referring Only - Nurse Practitioner | 0941698161 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48105 | WY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1285303099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1267 COLE RD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820097436",
"telephone_number": "307-631-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2622 PIONEER AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013024",
"telephone_number": "307-631-1380",
"fax_number": "307-632-3298"
}
],
"practiceLocations": [
{
"address_1": "1267 Cole Rd",
"address_purpose": "LOCATION",
"city": "Cheyenne",
"state": "WY",
"postal_code": "820097436",
"country_code": "US",
"telephone_number": "307-631-2889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLFE",
"first_name": "JENI",
"middle_name": "MARIE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-07",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "48105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.