Individual provider Active NPI

Holly Lyn Wolfe, FNP-C

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1447383732
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
665924 Issued in TX
Practice address
7460 Warren Pkwy
Frisco, TX 75034-4169
Phone
(972) 668-5400
Fax
(972) 668-5421
NPI assigned
Mar 14, 2007
Last updated
Jul 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 665924 TX Primary

Addresses

Primary practice location

7460 Warren Pkwy
Frisco, TX 75034-4169

Mailing address

2227 Barret Dr
Frisco, TX 75034-5211
Phone (214) 417-7661

Other identifiers 4

IdentifierTypeStateIssuer
206411502MedicaidTX
DQ5280OtherTXMEDICARE RR PALMETTO
206411501MedicaidTX
D07564OtherTXMEDICARE RR PALMETTO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051025001062 TX Practitioner - Nurse Practitioner 7214953744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3201 University Dr E
Suite 470
Bryan, TX 77802-3487
Phone (979) 731-3906

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Valley Physicians Organization,Mso-LLC CurrentSince Mar 18, 2024 Accepting new patients
Brazos Valley Physicians Organization,Mso-LLC CurrentSince Mar 18, 2024 Accepting new patients
Skilled Primary Care PLLC Past Accepting new patients
Jeffrey T. Hamm, M.D. Past Accepting new patients

Locations

3131 University Dr E
Bryan, TX 77802
Phone (979) 680-1888

3201 University Dr E
Ste 470
Bryan, TX 77802
Phone (979) 731-3906

Interoperability endpoints

  • Direct secure messaging: holly.wolfe.1@25466.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1447383732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 BARRET DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345211",
            "telephone_number": "214-417-7661",
            "fax_number": "972-671-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7460 WARREN PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344169",
            "telephone_number": "972-668-5400",
            "fax_number": "972-668-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "HOLLY",
        "middle_name": "LYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "665924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206411502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PALMETTO",
            "identifier": "DQ5280",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206411501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PALMETTO",
            "identifier": "D07564",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.