NPIMap

Individual provider Active NPI

Fawn N Wolfe

  • Nurse Practitioner
  • Fountain Hill, PA
National Provider Identifier
1447922752
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP024483 Issued in PA
Practice address
701 Ostrum St Ste 501
Fountain Hill, PA 18015-1153
Phone
(484) 503-7000
Fax
(484) 503-7001
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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 SP024483 PA Primary

Addresses

Primary practice location

701 Ostrum St Ste 501
Fountain Hill, PA 18015-1153

Mailing address

701 Ostrum St Ste 501
Fountain Hill, PA 18015-1153
Phone (484) 503-7000

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
I20220414001698 PA Practitioner - Nurse Practitioner 8325434533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1600 St Lukes Blvd
Easton, PA 18045-5671
Phone (484) 526-3648

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Dec 10, 2021 Accepting new patients
St Luke's Physician Group Inc CurrentSince Dec 10, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

240 Cetronia Rd
Ste SAND125S
Allentown, PA 18104

1600 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-4400

701 Ostrum St
Ste 501
Fountain Hill, PA 18015
Phone (484) 526-6161

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

208 Lifeline Rd
Ste 203
Stroudsburg, PA 18360
Phone (484) 503-4500

Interoperability endpoints

  • Direct secure messaging: fawn.wolfe@slpg.direct-sluhn.org

Organizations & group practices 6

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 10

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1447922752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST STE 501",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151153",
            "telephone_number": "484-503-7000",
            "fax_number": "484-503-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST STE 501",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151153",
            "telephone_number": "484-503-7000",
            "fax_number": "484-503-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "FAWN",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP024483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hill, PA

Sources for this page

Verify at the official NPI Registry.