Active NPI
Nancy Wolf, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Brookings, OR
National Provider Identifier
1558577569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 200650003NP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487696985 | Other | OR | CURRY HEALTH DISTRICT |
| 292124 | Medicaid | OR |
Other names 1
- Nancy Looman
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
| License | State | Type | Specialty |
|---|---|---|---|
| 200650003NP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| 081001426 | OR | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Indian Health Services, Inc. | Current | Accepting new patients | |
| United Indian Health Services, Inc. | Past | 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.
-
- Community Health Clinic/Center
- Klamath, CA
- NPI 1881690758
-
- Physical Therapist
- Baker City, OR
- NPI 1336274273
-
- Community Health Clinic/Center
- Arcata, CA
- NPI 1699506121
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.