NPIMap

Individual provider Active NPI

Kaitlee A Wolfe, CRNP

  • Nurse Practitioner
  • State College, PA
National Provider Identifier
1407546252
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP027538 Issued in PA
Practice address
2520 Green Tech Dr
State College, PA 16803-2308
Phone
(570) 271-7987
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP027538 PA Primary

Addresses

Primary practice location

2520 Green Tech Dr
State College, PA 16803-2308

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230615001556 PA Practitioner - Nurse Practitioner 1951769496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

2520 Green Tech Dr
State College, PA 16803-2300
Phone (814) 231-4560

Hospital & facility affiliations

  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Mount Nittany Medical Center Hospital, State College, PA, CCN 390268
  • Penn Highlands Huntingdon Hospital, Huntingdon, PA, CCN 390056
  • Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP027538PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Geisinger Clinic CurrentSince Jun 19, 2023 Accepting new patients
Geisinger Clinic CurrentSince Jun 19, 2023 Accepting new patients
Geisinger Clinic Past Accepting new patients
Family Health Associates of Geisinger Lewistown Hospital Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

3228 Cold Springs Rd
Huntingdon, PA 16652
Phone (814) 643-6462

21 Geisinger Ln
Lewistown, PA 17044
Phone (717) 242-4200

400 Highland Ave
Fl 3
Lewistown, PA 17044
Phone (717) 242-7761

210 Medical Center Dr
Philipsburg, PA 16866
Phone (814) 342-8001

2520 Green Tech Dr
State College, PA 16803
Phone (814) 231-4560

Interoperability endpoints

  • Direct secure messaging: kwolfe567414@direct.geisinger.edu

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.

Hospital & facility affiliations 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1407546252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 GREEN TECH DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032308",
            "telephone_number": "570-271-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "KAITLEE",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP027538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.