Individual provider Active NPI

Elana J Wishnie Wolfe, ARNP

  • Pediatric Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1457368284
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP30004279 Issued in WA
Practice address
Children'S Hospital and Regional Medical Center
4800 Sand Point Way NE, W-7729
Seattle, WA 98105-3901
Phone
(206) 987-2039
Fax
(206) 987-3925
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP30004279 WA Primary

Addresses

Primary practice location

Children'S Hospital and Regional Medical Center
4800 Sand Point Way NE, W-7729
Seattle, WA 98105-3901

Mailing address

3023 NE 103Rd St
Seattle, WA 98125-7716
Phone (206) 352-3964

Other identifiers 4

IdentifierTypeStateIssuer
NP498WAMedicaidAK
806597900MedicaidID
9627639MedicaidWA
4301024MedicaidMT

Other names 1

  • Elana Joan Wishnie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080222000021 WA Practitioner - Nurse Practitioner 1850475351 Reassigns benefits to 1 organization

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: lwolfe702@direct.seattlechildrens.org

Organizations & group practices 1

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1457368284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 NE 103RD ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257716",
            "telephone_number": "206-352-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER",
            "address_2": "4800 SAND POINT WAY NE, W-7729",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-987-2039",
            "fax_number": "206-987-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHNIE WOLFE",
        "first_name": "ELANA",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP30004279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP498WA",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806597900",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9627639",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4301024",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELANA",
            "last_name": "WISHNIE",
            "middle_name": "JOAN",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.