Individual provider Active NPI

Paige Marie Wolf, APRN

  • Family Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1487317558
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015075 Issued in KY
Practice address
1027 Jeffersonville Commons Dr
Jeffersonville, IN 47130-8395
Phone
(812) 288-0011
Fax
(812) 288-0012
NPI assigned
Oct 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3015075 KY Primary

Addresses

Primary practice location

1027 Jeffersonville Commons Dr
Jeffersonville, IN 47130-8395

Mailing address

PO Box 932958
Cleveland, OH 44193-3108
Phone (615) 425-4200

Other practice location 1

9501 County Road 403
Charlestown, IN 47111-8939
Phone (812) 256-2338

Other practice location 2

5929 Timber Ridge Dr
Prospect, KY 40059-8132
Phone (502) 228-2507

Other identifiers 2

IdentifierTypeStateIssuer
3015075OtherKYKENTUCKY
F08201321OtherKYAANP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211116000317 KY Practitioner - Nurse Practitioner 2365831278 Reassigns benefits to 1 organization
I20220106001259 IN Practitioner - Nurse Practitioner 2365831278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Clinic of in LLCGroup PAC ID 7719118447, 66 clinicians
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

1027 Jeffersonville Commons Dr
Jeffersonville, IN 47130-8395
Phone (812) 288-0011

5929 Timber Ridge Dr
Prospect, KY 40059-8132
Phone (502) 228-2507

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

Merit-based Incentive Payment System (MIPS)

Final score
83.89 of 100Reported as group
Quality
67.99
Promoting interoperability
100
Improvement activities
40
Cost
78.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3015075KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Clinic of in LLC Family CurrentSince Jan 4, 2022 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Nov 10, 2021 Accepting new patients

Locations

9501 County Road 403
Charlestown, IN 47111
Phone (812) 256-2338

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

1027 Jeffersonville Commons Dr
Jeffersonvlle, IN 47130
Phone (812) 288-0011

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

5929 Timber Ridge Dr
Prospect, KY 40059
Phone (502) 228-2507

Interoperability endpoints

  • Direct secure messaging: paige.wolf@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 2

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": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1487317558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441933108",
            "telephone_number": "615-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 JEFFERSONVILLE COMMONS DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308395",
            "telephone_number": "812-288-0011",
            "fax_number": "812-288-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9501 County Road 403",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "IN",
            "postal_code": "471118939",
            "country_code": "US",
            "telephone_number": "812-256-2338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5929 Timber Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Prospect",
            "state": "KY",
            "postal_code": "400598132",
            "country_code": "US",
            "telephone_number": "502-228-2507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "PAIGE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY",
            "identifier": "3015075",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F08201321",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.