Individual provider Active NPI

Felisha Wolford, CNP

  • Family Nurse Practitioner
  • Frazeysburg, OH
National Provider Identifier
1306439583
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028339 Issued in OH
Practice address
266 W 3Rd St Rear
Frazeysburg, OH 43822-9784
Phone
(740) 334-9480
NPI assigned
Feb 18, 2021
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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 APRN.CNP.0028339 OH Primary

Addresses

Primary practice location

266 W 3Rd St Rear
Frazeysburg, OH 43822-9784

Mailing address

13260 Scout Rd
Frazeysburg, OH 43822-9372
Phone (740) 334-9480

Other practice location 1

13260 Scout Rd
Frazeysburg, OH 43822-9372
Phone (740) 334-9480

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230213001870 OH Practitioner - Nurse Practitioner 2860877719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

266 W 3Rd St
Rear
Frazeysburg, OH 43822-9784
Phone (740) 828-6166

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Village Medical Center LLC CurrentSince Mar 7, 2022 Accepting new patients

Locations

266 W 3rd St
Rear
Frazeysburg, OH 43822
Phone (740) 334-9480

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1306439583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13260 SCOUT RD",
            "city": "FRAZEYSBURG",
            "state": "OH",
            "postal_code": "438229372",
            "telephone_number": "740-334-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 W 3RD ST REAR",
            "city": "FRAZEYSBURG",
            "state": "OH",
            "postal_code": "438229784",
            "telephone_number": "740-334-9480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13260 Scout Rd",
            "address_purpose": "LOCATION",
            "city": "Frazeysburg",
            "state": "OH",
            "postal_code": "438229372",
            "country_code": "US",
            "telephone_number": "740-334-9480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFORD",
        "first_name": "FELISHA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frazeysburg, OH

Sources for this page

Verify at the official NPI Registry.