Individual provider Active NPI

Kendall Marie Wolff, PA-C

  • Medical Physician Assistant
  • Nashville, TN
National Provider Identifier
1477838910
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1729 Issued in SC
Practice address
3443 Dickerson Pike Ste 370
Nashville, TN 37207-2535
Phone
(615) 769-2799
Fax
(615) 769-2789
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1729 SC Primary
Physician Assistant 363A00000X 2384 TN

Addresses

Primary practice location

3443 Dickerson Pike Ste 370
Nashville, TN 37207-2535

Mailing address

3443 Dickerson Pike Ste 370
Nashville, TN 37207-2535
Phone (615) 769-2799

Other identifiers 1

IdentifierTypeStateIssuer
1289PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20140219000454 TN Practitioner - Physician Assistant 5092980904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.74 of 100Reported as group
Quality
69.38
Promoting interoperability
100
Improvement activities
40
Cost
69.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1729SCMDChiropractor
2384TNMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Oct 2, 2025 Accepting new patients
Saint Thomas Medical Partners CurrentSince Oct 2, 2025 Accepting new patients
Essen Medical Urgicare, PLLC Past Accepting new patients

Locations

301 21st Ave N
Nashville, TN 37203
Phone (615) 329-5144

301 21st Ave N
Ste 100
Nashville, TN 37203
Phone (615) 329-5144

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1477838910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 370",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072535",
            "telephone_number": "615-769-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 370",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072535",
            "telephone_number": "615-769-2799",
            "fax_number": "615-769-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "KENDALL",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1729",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2384",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1289PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.