Individual provider Active NPI

William F Wolfe, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Joint Base Langley-Eustis, VA
National Provider Identifier
1336486992
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024169160 Issued in VA
Practice address
633D Medical Group
77 Nealy Avenue
Joint Base Langley-Eustis, VA 23665-2040
Phone
(757) 225-7630
NPI assigned
Jan 15, 2013
Last updated
May 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024169160 VA Primary

Addresses

Primary practice location

633D Medical Group
77 Nealy Avenue
Joint Base Langley-Eustis, VA 23665-2040

Mailing address

633D Medical Group
77 Nealy Avenue
Joint Base Langley-Eustis, VA 23665-2040
Phone (757) 225-7630

Other practice location 1

500 J Clyde Morris Blvd
Anesthesia Dept
Newport News, VA 23601-1929
Phone (757) 594-3314

Other identifiers 1

IdentifierTypeStateIssuer
1336486992MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909003840 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012161656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians
Advanced Gastroenterology Associates, PAGroup PAC ID 2264574649, 11 clinicians

Practice addresses (Care Compare)

1401 E 8TH St
Weslaco, TX 78596-6640
Phone (956) 968-8567

3315 S Alameda St
Corpus Christi, TX 78411-1820
Phone (214) 687-0001

609 Medical Ctr Dr
Decatur, TX 76234-3836
Phone (940) 627-5921

902 Preskitt Rd
Suite 300
Decatur, TX 76234-4101
Phone (940) 626-1864

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gastroenterology Associates, PA CurrentSince Apr 2, 2024 Accepting new patients
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2021 Accepting new patients
Lonestar Surgical Specialist, PA Past Accepting new patients
Accupath Lab LLC PastSince Jun 21, 2022 Accepting new patients

Locations

609 Medical Center Dr
Ste 2600
Decatur, TX 76234
Phone (940) 626-1864

902 Preskitt Rd
Ste 300
Decatur, TX 76234
Phone (940) 626-1864

3412 N Tarrant Pkwy
Ste 520
Fort Worth, TX 76177
Phone (940) 626-1848

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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 2

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": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1336486992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633D MEDICAL GROUP",
            "address_2": "77 NEALY AVENUE",
            "city": "JOINT BASE LANGLEY-EUSTIS",
            "state": "VA",
            "postal_code": "236652040",
            "telephone_number": "757-225-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633D MEDICAL GROUP",
            "address_2": "77 NEALY AVENUE",
            "city": "JOINT BASE LANGLEY-EUSTIS",
            "state": "VA",
            "postal_code": "236652040",
            "telephone_number": "757-225-7630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 J Clyde Morris Blvd",
            "address_2": "ANESTHESIA DEPT",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011929",
            "country_code": "US",
            "telephone_number": "757-594-3314",
            "fax_number": "703-295-9369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-15",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024169160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336486992",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joint Base Langley-Eustis, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.