Individual provider Active NPI

Brenda Anne Wolfson, R.N.

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1316991102
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
289564 Issued in CA
Practice address
500 University Ave
Sacramento, CA 95825-6523
Phone
(916) 830-2000
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 289564 CA Primary

Addresses

Primary practice location

500 University Ave
Sacramento, CA 95825-6523

Mailing address

500 University Ave
Sacramento, CA 95825-6504
Phone (916) 830-2000

Other identifiers 1

IdentifierTypeStateIssuer
RN289564MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230203001410 CA Practitioner - Nurse Practitioner 6103236039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13640CAMDAddiction (Substance Use Disorder) Counselor
289564CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Hospitals CurrentSince Nov 1, 2022 Accepting new patients
Sutter Valley Hospitals Current Accepting new patients
Sutter Valley Hospitals CurrentSince Nov 1, 2022 Accepting new patients
Sacramento Heart & Vascular Medical Current Accepting new patients

Locations

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

500 University Ave
Sacramento, CA 95825
Phone (916) 423-6806

1625 Stockton Blvd
Ste 112
Sacramento, CA 95816
Phone (916) 887-4001

Interoperability endpoints

  • Direct secure messaging: bwolfsonnp60711@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1316991102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256504",
            "telephone_number": "916-830-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256523",
            "telephone_number": "916-830-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFSON",
        "first_name": "BRENDA",
        "middle_name": "ANNE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "289564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN289564",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.