Individual provider Active NPI

Jacaline Wolf, CRNP

  • Family Nurse Practitioner
  • Emmaus, PA
National Provider Identifier
1518018324
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009164 Issued in PA
Practice address
730 Harrison St
Emmaus, PA 18049-2211
Phone
(610) 965-1900
Fax
(610) 965-2900
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP009164 PA Primary
Nurse Practitioner 363L00000X SP009164 PA

Addresses

Primary practice location

730 Harrison St
Emmaus, PA 18049-2211

Mailing address

730 Harrison St
Emmaus, PA 18049-2211
Phone (610) 965-1900

Other identifiers 1

IdentifierTypeStateIssuer
SP009164OtherPALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070307000029 PA Practitioner - Nurse Practitioner 3274636584

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP009164PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2012 Accepting new patients
Lehigh Valley Physician Group Nurse Practitioner Current Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1250 S Cedar Crest Blvd
Ste 205
Allentown, PA 18103
Phone (610) 402-9116

1730 Chew St
Allentown, PA 18104
Phone (610) 402-3500

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

730 Harrison St
Emmaus, PA 18049
Phone (610) 759-3973

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

3701 Corriere Rd
Ste 25
Palmer Township, PA 18045
Phone (484) 591-7000

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1518018324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HARRISON ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492211",
            "telephone_number": "610-965-1900",
            "fax_number": "610-965-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HARRISON ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492211",
            "telephone_number": "610-965-1900",
            "fax_number": "610-965-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JACALINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009164",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SP009164",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmaus, PA

Sources for this page

Verify at the official NPI Registry.