Debra L Wolf, C-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA12214-NP Issued in OH

Practice address

536 Mirabeau St
Greenfield, OH 45123-1457

Phone

(937) 981-9444

Fax

(937) 981-9448

NPI assigned

Mar 31, 2011

Last updated

Dec 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adena Home Health Home health agency, Chillicothe, OH, CCN 367271
• Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
• Greenfield Area Medical Center Hospital, Greenfield, OH, CCN 361304
• Adena Fayette Medical Center Hospital, Washington CH, OH, CCN 361331

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dwolf1061427@direct.osumc.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adena Fayette Medical Center

  • Critical Access Hospital
  • Washington Court House, OH
  • NPI 1508978677
  Care Compare affiliation
• Adena Health System

  dba Adena Regional Medical Center

  • General Acute Care Hospital
  • Chillicothe, OH
  • NPI 1902839673
  Care Compare affiliation
• Adena Home Health, LLC

  dba Adena Home Health

  • Home Health Agency
  • Chillicothe, OH
  • NPI 1700805538
  Care Compare affiliation
• Greenfield Area Medical Center

  • Critical Access Hospital
  • Greenfield, OH
  • NPI 1215960901
  Care Compare affiliation

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1508155417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 NORTH WASHINGTON STREET",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "45123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 MIRABEAU ST",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451231457",
            "telephone_number": "937-981-9444",
            "fax_number": "937-981-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "DEBRA",
        "middle_name": "L",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA12214-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3140961",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.fam.med.greenfield@adena.medicity.net",
            "affiliation": "N",
            "address_1": "1075 N Washington St",
            "city": "Greenfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451239780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelsey Vaughn
• Tara Walker, LISW
• Robert B Wells, PHARM.D
• Justin West
• Susan West
• Shantiel Wood
• Destinie Wright Deaton
• Hanna Wright
• Eric C. Zint, R.PH.
• Michael E Zint, R.PH.

• Family Nurse Practitioner in Greenfield, OH
• Providers in Greenfield, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.