Individual provider Active NPI

Charles Brian Wolfe, MSN, FNP

  • Family Nurse Practitioner
  • Beverly Hills, CA
National Provider Identifier
1295258473
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017589 Issued in PA
Practice address
415 N Beverly Dr # Ca90210
Beverly Hills, CA 90210-4600
Phone
(888) 803-3370
Fax
(888) 803-3331
NPI assigned
Jul 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP017589 PA Primary
Nurse Practitioner 363L00000X NP95036154 CA
Nurse Practitioner 363L00000X 26NJ00758000 NJ
Nurse Practitioner 363L00000X RN10024395 MA
Family Nurse Practitioner 363LF0000X 26NJ00758000 NJ
Nurse Practitioner 363L00000X 357680 NY
Nurse Practitioner 363L00000X R273122 MD

Addresses

Primary practice location

415 N Beverly Dr # Ca90210
Beverly Hills, CA 90210-4600

Mailing address

65 W 36TH St FL 11
New York, NY 10018-7936

Other practice location 1

65 W 36th St Fl 11
New York, NY 10018-7936
Phone (888) 803-3370

Other practice location 2

333 1st St Ste A
San Francisco, CA 94105-2661
Phone (888) 803-3370

Other practice location 3

2418 E York St
Philadelphia, PA 19125-3006
Phone (888) 803-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, NY, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20171002000467 PA Practitioner - Nurse Practitioner 0345515359 Reassigns benefits to 3 organizations
I20171201002647 NJ Practitioner - Nurse Practitioner 0345515359 Reassigns benefits to 2 organizations
I20260108000316 NY Practitioner - Nurse Practitioner 0345515359 Reassigns benefits to 1 organization
I20260515000263 CA Practitioner - Nurse Practitioner 0345515359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle Medical Care Group PAGroup PAC ID 0345769253, 42 clinicians

Practice addresses (Care Compare)

2418 E York St
Philadelphia, PA 19125-3006
Phone (888) 803-3370

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95036154CAMDNurse Practitioner
RN10024395MAMDNurse Practitioner
R273122MDMDNurse Practitioner
357680NYMDNurse Practitioner
26NJ00758000NJMDFamily Nurse Practitioner
SP017589PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group, Inc. Dba St Luke's Bethlehem Primay Care CurrentSince Apr 15, 2019 Accepting new patients
Circle Medical Care Group PA CurrentSince Apr 18, 2025 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC Nurse Practitioner CurrentSince Oct 6, 2024 Accepting new patients
Circle Medical Care of New York PC CurrentSince Sep 12, 2025 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince May 16, 2024 Accepting new patients
St Luke's Physician Group Inc CurrentSince Apr 15, 2019 Accepting new patients
Circle Medical Care Group of New Jersey PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

525 Route 73 N
Ste 117
Marlton, NJ 08053
Phone (609) 200-0444

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 436-5478

830 Morris Tpke
Ste 401
Short Hills, NJ 07078
Phone (848) 289-1892

156 William St
Rm 303
New York, NY 10038
Phone (813) 955-6329

2599 State Route 903
Albrightsville, PA 18210
Phone (570) 645-1945

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1295258473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 W 36TH ST FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N BEVERLY DR # CA90210",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104600",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 W 36th St Fl 11",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100187936",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 1st St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941052661",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2418 E York St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191253006",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "CHARLES",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-19",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017589",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95036154",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00758000",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN10024395",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00758000",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "357680",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R273122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.