Individual provider Active NPI

Kristin Swor Wolf, MD

  • Emergency Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1396948022
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301090191 Issued in MI
Practice address
1500 E Medical Center Dr
Ann Arbor
Ann Arbor, MI 48109-0999
Phone
(734) 763-7919
Fax
(734) 763-9298
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301090191 MI Primary

Addresses

Primary practice location

1500 E Medical Center Dr
Ann Arbor
Ann Arbor, MI 48109-0999

Mailing address

1 Hurley PLZ
Flint
Flint, MI 48503-5902
Phone (313) 999-9385

Other names 1

  • Kristin Amelia Swor Wolf Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110616000448 MI Practitioner - Emergency Medicine 4284812470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
66.97
Promoting interoperability
100
Improvement activities
40
Cost
75.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301090191MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caberfae Emergency Group, P.C. Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center CurrentSince Mar 1, 2013 Accepting new patients
Hurley Medical Center Emergency Medicine CurrentSince Mar 1, 2013 Accepting new patients
Hurley Medical Center Current Accepting new patients

Locations

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

1 Hurley Plz
Ste 300
Flint, MI 48503

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

Interoperability endpoints

  • Direct secure messaging: kwolf4582@direct.hurleymc.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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1396948022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "address_2": "FLINT",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "313-999-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "ANN ARBOR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481090999",
            "telephone_number": "734-763-7919",
            "fax_number": "734-763-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWOR WOLF",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301090191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "WOLF",
            "middle_name": "AMELIA SWOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.