NPIMap

Individual provider Active NPI

Susan Gail Wolfe, ARNP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1336689470
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2832682 Issued in FL
Practice address
3059 Edgewood Ave W
Jacksonville, FL 32209-2207
Phone
(305) 628-6117
NPI assigned
Mar 7, 2017
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2832682 FL
Adult Health Nurse Practitioner 363LA2200X ARNP 2832682 FL
Family Nurse Practitioner 363LF0000X ARNP2832682 FL Primary

Addresses

Primary practice location

3059 Edgewood Ave W
Jacksonville, FL 32209-2207

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171227001680 FL Practitioner - Nurse Practitioner 8123386968 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WCS Professional Services of Florida, LLCGroup PAC ID 3678792579, 2 clinicians

Practice addresses (Care Compare)

1420 Celebration Blvd
Suite 238
Celebration, FL 34747-5159
Phone (855) 228-0790

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP2832682FLMDNurse Practitioner
ARNP 2832682FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC CurrentSince Jul 28, 2017 Accepting new patients
Legacy Family Healthcare Inc Family CurrentSince Feb 27, 2024 Accepting new patients
Restorixhealth at-Home, LLC Nurse Practitioner CurrentSince Aug 3, 2020 Accepting new patients
Rmed LLC CurrentSince Jul 28, 2017 Accepting new patients
WCS Professional Services of Florida, LLC Nurse Practitioner CurrentSince Aug 3, 2020 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Feb 24, 2020 Accepting new patients
Iah of Florida, LLC CurrentSince Feb 18, 2019 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Feb 24, 2020 Accepting new patients

Locations

3059 Edgewood Ave W
Jacksonville, FL 32209
Phone (904) 647-3180

4348 Southpoint Blvd
Ste 100
Jacksonville, FL 32216
Phone (904) 281-1087

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1658 St Vincents Way
Ste 120
Middleburg, FL 32068
Phone (904) 602-1000

7320 E Fletcher Ave
Ste 136138
Tampa, FL 33637
Phone (813) 517-0137

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

Organizations & group practices 8

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 8

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": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1336689470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3059 EDGEWOOD AVE W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322092207",
            "telephone_number": "305-628-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "SUSAN",
        "middle_name": "GAIL",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2832682",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 2832682",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2832682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.