Jill Lisa Wolkstein, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

OS8632 Issued in FL

Practice address

6716 NW 11TH Place
Ste 200
Gainesville, FL 32605-4215

Phone

(352) 331-9729

Fax

(352) 331-0136

NPI assigned

Feb 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Jill Lisa Dalba Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Diagnostic Radiology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indian River MRI IncGroup PAC ID 0446248363, 8 clinicians

Doctors Imaging Group LLCGroup PAC ID 3476457862, 24 clinicians

Doctors Radiology Group of Gainesville LLCGroup PAC ID 4789692328, 33 clinicians

Women'S Imaging Institute LLCGroup PAC ID 7719212448, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Doctors Imaging Group LLC

  • Diagnostic Radiology Physician
  • Gainesville, FL
  • NPI 1134179989
  Medicare reassignment Care Compare group NPD
• Doctors Radiology Group of Gainesville LLC

  • Diagnostic Radiology Physician
  • Gainesville, FL
  • NPI 1194775783
  Medicare reassignment Care Compare group NPD
• Indian River MRI Inc

  • Clinic/Center
  • Vero Beach, FL
  • NPI 1215049614
  Medicare reassignment Care Compare group NPD
• Women'S Imaging Institute, LLC

  • Diagnostic Radiology Physician
  • Sunrise, FL
  • NPI 1275094203
  Medicare reassignment Care Compare group
• North Florida Outpatient Imaging Center LTD

  • Body Imaging Physician
  • Gainesville, FL
  • NPI 1730268632
  Medicare reassignment NPD
• Shands Teaching Hospital and Clinics Inc

  • Pharmacy
  • Gainesville, FL
  • NPI 1497645915
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Florida Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1174579155
  Care Compare affiliation

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1396719696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 NW 11TH PLACE",
            "address_2": "STE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054215",
            "telephone_number": "352-331-9729",
            "fax_number": "352-338-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 NW 11TH PLACE",
            "address_2": "STE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054215",
            "telephone_number": "352-331-9729",
            "fax_number": "352-331-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLKSTEIN",
        "first_name": "JILL",
        "middle_name": "LISA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS8632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01215410",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01196235",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015061900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "13581",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "DALBA",
            "middle_name": "LISA",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Marie Wolfe, ARNP
• Toni M. Wolfendale, PTA
• Palmer Nicole Wolfenden
• Steven Wolin
• Paige Wolke
• Rebekah Irene Wollitz, PHARMD
• Cody Gunner Womack, ARNP
• Erika Womack
• Jessica Womack, OT
• Women'S Health Care at Center for Balance

• Diagnostic Radiology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.

Verify at the official NPI Registry.