Active NPI
Edward H. Wolske, M.D.
- Family Medicine Physician
- Breckenridge, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 47593
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 498915500 | Medicaid | MN |
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
Enrollment records 1
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 Inc
Practice addresses (Care Compare)
400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-1313
Hospital & facility affiliations
- Lifecare Medical Center
- St Francis Medical Center
- Windom Area Health
- Stevens Community Medical Center Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47593 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifecare Medical Center | Current | 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 | Current | Accepting new patients | |
| Stevens Community Medical Center Inc | Family Medicine | Current | Accepting new patients |
| Avera Marshall | Current | Accepting new patients | |
| Avera Tyler | Current | Accepting new patients | |
| Stevens Community Medical Center Inc | Current | Accepting new patients | |
| Stevens Community Medical Center Inc | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Lifecare Medical Center | Current | Accepting new patients | |
| Avera Tyler | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Family Medicine | Current | Accepting new patients |
| Windom Area Hospital | Current | Accepting new patients | |
| Avera Tyler | Current | 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
- ewolske791913@direct.centracare.com
- 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.
-
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
-
- Critical Access Hospital
- Tyler, MN
- NPI 1801840517
-
- Family Medicine Physician
- Brooten, MN
- NPI 1255348223
-
- Critical Access Hospital
- Glenwood, MN
- NPI 1538178520
-
- Critical Access Hospital
- Roseau, MN
- NPI 1609861095
-
- Critical Access Hospital
- Perham, MN
- NPI 1790799518
-
- Critical Access Hospital
- Breckenridge, MN
- NPI 1639162381
-
- Critical Access Hospital
- Breckenridge, MN
- NPI 1891954574
-
- Critical Access Hospital
- Morris, MN
- NPI 1487678942
-
- Clinic/Center
- Starbuck, MN
- NPI 1417105552
-
- Critical Access Hospital
- Windom, MN
- NPI 1841288644
-
- Optometrist
- Marshall, MN
- NPI 1487422465
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Roseau, MN
- NPI 1609861095
-
- Critical Access Hospital
- Breckenridge, MN
- NPI 1639162381
-
- Multi-Specialty Clinic/Center
- Morris, MN
- NPI 1366543662
Hospital
-
- Critical Access Hospital
- Morris, MN
- NPI 1487678942
-
- Critical Access Hospital
- Windom, MN
- NPI 1841288644
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.