Individual provider Active NPI

Jeralee Wolf

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1477037422
Registry record updated Sep 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-142279 Issued in AL
Practice address
619 19TH St S Ste P915
Birmingham, AL 35233-1900
Phone
(205) 975-0512
NPI assigned
Sep 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-142279 AL Primary

Addresses

Primary practice location

619 19TH St S Ste P915
Birmingham, AL 35233-1900

Mailing address

5100 Willow Cir
Birmingham, AL 35242-3465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20181210003026 AL Practitioner - Nurse Practitioner 3678817111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of North-Central Alabama IncGroup PAC ID 3072591478, 94 clinicians

Practice addresses (Care Compare)

3570 Grandview Pkwy
Suite 200
Birmingham, AL 35243-2066
Phone (205) 663-1023

513 Brookwood Blvd
Suite 401
Birmingham, AL 35209-6883
Phone (205) 870-0256

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
61.85
Promoting interoperability
97
Improvement activities
40
Cost
79.3

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Oct 1, 2018 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc CurrentSince May 16, 2022 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc CurrentSince May 16, 2022 Accepting new patients

Locations

3570 Grandview Pkwy
Ste 200
Birmingham, AL 35243
Phone (205) 663-1023

513 Brookwood Blvd
Ste 401
Birmingham, AL 35209
Phone (205) 663-1023

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

619 19th St S
Ste P915
Birmingham, AL 35233

Interoperability endpoints

  • Direct secure messaging: jeralee.wolf@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 3

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 1

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": "1536969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536969600000",
    "number": "1477037422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 WILLOW CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352423465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S STE P915",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-975-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JERALEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-15",
        "last_updated": "2018-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-142279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.