Active NPI
Kristy Marie Wolske, M.D.
- Diagnostic Radiology Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2011-01417
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28858 | SC | MD | Internal Medicine Physician |
| 2011-01417 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yadkin River Radiology PA | Diagnostic Radiology | Current | Accepting new patients |
| Wake Forest Baptist Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wake Forest Baptist Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wake Forest Baptist Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wake Forest University Health Sciences | Current | 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
- 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.
-
- Radiology Clinic/Center
- Winston Salem, NC
- NPI 1972763357
Diagnostic Radiology
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Diagnostic Radiology Physician
- Winston Salem, NC
- NPI 1710908041
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1841049913
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.