Individual provider Active NPI

Nancy Wolf, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brookings, OR
National Provider Identifier
1558577569
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
200650003NP Issued in OR
Practice address
603 Hemlock St
Suite 2D
Brookings, OR 97415-9424
Phone
(541) 412-2094
Fax
(541) 469-6867
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 081001426 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 200650003NP OR Primary

Addresses

Primary practice location

603 Hemlock St
Suite 2D
Brookings, OR 97415-9424

Mailing address

PO Box 5
Glennallen, AK 99588-0589
Phone (907) 822-3202

Other practice location 1

187 Glenn Hwy
Glennallen, AK 99588-0018
Phone (907) 822-3203

Other practice location 2

2730 Alaska Hwy
Delta Junction, AK 99737
Phone (907) 895-6233

Other identifiers 2

IdentifierTypeStateIssuer
1487696985OtherORCURRY HEALTH DISTRICT
292124MedicaidOR

Other names 1

  • Nancy Looman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200650003NPORMDPsychiatric/Mental Health Nurse Practitioner
081001426ORMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Indian Health Services, Inc. CurrentSince Jul 24, 2022 Accepting new patients
United Indian Health Services, Inc. PastSince Jun 17, 2013 Accepting new patients
Robert J Bachman P T PC Past Accepting new patients

Locations

1600 Weeot Way
Arcata, CA 95521
Phone (707) 825-5000

1675 Northcrest Dr
Crescent City, CA 95531
Phone (707) 464-2750

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1558577569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "GLENNALLEN",
            "state": "AK",
            "postal_code": "995880589",
            "telephone_number": "907-822-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HEMLOCK ST",
            "address_2": "SUITE 2D",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159424",
            "telephone_number": "541-412-2094",
            "fax_number": "541-469-6867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 Glenn Hwy",
            "address_purpose": "LOCATION",
            "city": "Glennallen",
            "state": "AK",
            "postal_code": "995880018",
            "country_code": "US",
            "telephone_number": "907-822-3203",
            "fax_number": "833-819-0279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2730 Alaska Hwy",
            "address_purpose": "LOCATION",
            "city": "Delta Junction",
            "state": "AK",
            "postal_code": "99737",
            "country_code": "US",
            "telephone_number": "907-895-6233",
            "fax_number": "907-895-6288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "NANCY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "081001426",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200650003NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRY HEALTH DISTRICT",
            "identifier": "1487696985",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292124",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "LOOMAN",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookings, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.