Individual provider Active NPI

William Paul Wolfe, APRN

  • Nurse Practitioner
  • London, KY
National Provider Identifier
1487144259
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3012281 Issued in KY
Practice address
94 Dogpatch Trading Ctr
London, KY 40741-8292
Phone
(606) 877-1352
Fax
(606) 877-1356
NPI assigned
May 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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 3012281 KY Primary

Addresses

Primary practice location

94 Dogpatch Trading Ctr
London, KY 40741-8292

Mailing address

94 Dogpatch Trading Ctr
London, KY 40741-8292
Phone (606) 877-1352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20180801003294 KY Practitioner - Nurse Practitioner 6507114956 Reassigns benefits to 6 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
Memorial Hospital, Inc.Group PAC ID 4486616141, shared by 9 NPIs, 60 clinicians

Practice addresses (Care Compare)

56 Marie Langdon Dr
Manchester, KY 40962-6329
Phone (606) 599-4080

Hospital & facility affiliations

  • AdventHealthManchester Hospital, Manchester, KY, CCN 180043

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital, Inc. CurrentSince Jul 14, 2018 Accepting new patients
Memorial Hospital, Inc. CurrentSince Jul 14, 2018 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Jan 15, 2019 Accepting new patients
Brock Medical, LLC Nurse Practitioner CurrentSince Aug 1, 2018 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Memorial Hospital Inc. CurrentSince Jul 14, 2018 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Aug 1, 2018 Accepting new patients
Memorial Hospital, Inc. CurrentSince Sep 10, 2021 Accepting new patients
Emmanuel Yumang, MD, PLLC Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

301 Versailles Rd
Frankfort, KY 40601
Phone (502) 352-2310

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

509 Memorial Dr
Ste 2
Manchester, KY 40962
Phone (606) 598-4384

53 Queendale Ctr
Red Bird, KY 40913
Phone (606) 598-5135

480 Bullion Blvd
#B
Winchester, KY 40391
Phone (859) 385-4222

Interoperability endpoints

  • Direct secure messaging: wwolfe659353@adventhealth.direct-ci.com

Organizations & group practices 9

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": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1487144259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 DOGPATCH TRADING CTR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407418292",
            "telephone_number": "606-877-1352",
            "fax_number": "606-877-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 DOGPATCH TRADING CTR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407418292",
            "telephone_number": "606-877-1352",
            "fax_number": "606-877-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.