Nicholas Wolhaupter

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

PA9110064 Issued in FL

Practice address

6500 N Socrum Loop Rd
Suite 100
Lakeland, FL 33809-4179

Phone

(863) 853-3331

NPI assigned

Dec 20, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emily F Arsenault MD PAGroup PAC ID 9739106584, 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Emily F Arsenault MD PA

  • Dermatology Physician
  • Lakewood Ranch, FL
  • NPI 1851587794
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1508301011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 N SOCRUM LOOP RD",
            "address_2": "SUITE 100",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094179",
            "telephone_number": "863-853-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N SOCRUM LOOP RD",
            "address_2": "SUITE 100",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094179",
            "telephone_number": "863-853-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLHAUPTER",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "PA9110064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicole Withrow, CRNA
• Taylor Wolf, RD
• Ava Lynne Wolfe
• Krystal Wolfe
• Lindsey Marie Wolfe, DPT
• Women'S Care Florida LLC
• Womens Care Florida LLP
• Womens Imaging Center LLC
• Wonderfully Made Physical Therapy, LLC
• Alexis Anne Artiaga Wong

• Dermatology Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.