Individual provider Active NPI

Edward H. Wolske, M.D.

  • Family Medicine Physician
  • Breckenridge, MN
National Provider Identifier
1386629046
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47593 Issued in MN
Practice address
2400 St Francis Dr
Breckenridge, MN 56520-1025
Phone
(218) 643-3000
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 47593 MN
Family Medicine Physician 207Q00000X 47593 MN Primary

Addresses

Primary practice location

2400 St Francis Dr
Breckenridge, MN 56520-1025

Mailing address

1551 290TH Ave
Garvin, MN 56132-1240
Phone (507) 828-9436

Other practice location 1

300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 537-9300

Other identifiers 1

IdentifierTypeStateIssuer
498915500MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050523001110 MN Practitioner - Emergency MedicinePractitioner - Family Practice 5890750152 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stevens Community Medical Center IncGroup PAC ID 3678475852, shared by 6 NPIs, 72 clinicians

Practice addresses (Care Compare)

400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-1313

Hospital & facility affiliations

  • Lifecare Medical Center Hospital, Roseau, MN, CCN 241344
  • St Francis Medical Center Hospital, Breckenridge, MN, CCN 241377
  • Windom Area Health Hospital, Windom, MN, CCN 241332
  • Stevens Community Medical Center Inc Hospital, Morris, MN, CCN 241363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47593MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Medical Center CurrentSince Jan 24, 2026 Accepting new patients
Perham Hospital District Current Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
St. Francis Medical Center Current Accepting new patients
St. Francis Medical Center CurrentSince Jun 8, 2024 Accepting new patients
Stevens Community Medical Center Inc Family Medicine CurrentSince Jan 17, 2026 Accepting new patients
Avera Marshall CurrentSince Nov 2, 2009 Accepting new patients
Avera Tyler Current Accepting new patients
Stevens Community Medical Center Inc CurrentSince Apr 1, 2024 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Apr 1, 2024 Accepting new patients
Avera Marshall CurrentSince Nov 2, 2009 Accepting new patients
Lifecare Medical Center CurrentSince Jan 24, 2026 Accepting new patients
Avera Tyler CurrentSince Mar 1, 2017 Accepting new patients
Glacial Ridge Hospital District CurrentSince Aug 1, 2024 Accepting new patients
Glacial Ridge Hospital District CurrentSince Aug 1, 2024 Accepting new patients
Glacial Ridge Hospital District Family Medicine Current Accepting new patients
Windom Area Hospital Current Accepting new patients
Avera Tyler CurrentSince Mar 1, 2017 Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations

3293 Solutions Ctr
Chicago, IL 60677

2400 St Francis Dr
Breckenridge, MN 56520
Phone (218) 643-0226

10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157

417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

Interoperability endpoints

  • Direct secure messaging: ewolske791913@direct.centracare.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1386629046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 290TH AVE",
            "city": "GARVIN",
            "state": "MN",
            "postal_code": "561321240",
            "telephone_number": "507-828-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 ST FRANCIS DR",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201025",
            "telephone_number": "218-643-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Bruce St",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MN",
            "postal_code": "562581934",
            "country_code": "US",
            "telephone_number": "507-537-9300",
            "fax_number": "507-537-9356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLSKE",
        "first_name": "EDWARD",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "47593",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "47593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498915500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, MN

Sources for this page

Verify at the official NPI Registry.