Individual provider Active NPI

Kristy Marie Wolske, M.D.

  • Diagnostic Radiology Physician
  • Wilmington, NC
National Provider Identifier
1396872024
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2011-01417 Issued in NC
Practice address
1025 Medical Center Dr
Wilmington, NC 28401
Phone
(910) 762-3882
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD2011-0736 NM
Diagnostic Radiology Physician 2085R0202X 2011-01417 NC Primary
Internal Medicine Physician 207R00000X 28858 SC

Addresses

Primary practice location

1025 Medical Center Dr
Wilmington, NC 28401

Mailing address

1025 Medical Center Dr
Wilmington, NC 28401-7354
Phone (910) 762-3882

Other practice location 1

801 W Maple Street
Farmington, NM 87401
Phone (505) 325-1572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20191001003154 NC Practitioner - Diagnostic Radiology 7719154947 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28858SCMDInternal Medicine Physician
2011-01417NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yadkin River Radiology PA Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Wake Forest Baptist Imaging LLC Diagnostic Radiology CurrentSince Sep 27, 2024 Accepting new patients
Wake Forest University Health Sciences CurrentSince Apr 2, 2024 Accepting new patients

Locations

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

861 Old Winston Rd
Ste 105
Kernersville, NC 27284
Phone (336) 765-5722

233 Doctors St
Sparta, NC 28675
Phone (336) 372-3223

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

265 Executive Park Blvd
Winston Salem, NC 27103
Phone (336) 765-5722

Interoperability endpoints

  • Direct secure messaging: kwolske2895519@carolinashealthcaresystem.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1396872024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017354",
            "telephone_number": "910-762-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28401",
            "telephone_number": "910-762-3882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W Maple Street",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "87401",
            "country_code": "US",
            "telephone_number": "505-325-1572",
            "fax_number": "505-327-4887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLSKE",
        "first_name": "KRISTY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2011-0736",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2011-01417",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "28858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.