Kaylee Jo Wolfe, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

227035 Issued in AR

Practice address

101 Skyline Dr
Russellville, AR 72801-3395

Phone

(479) 968-2345

Fax

(479) 890-2467

NPI assigned

Mar 28, 2024

Last updated

Apr 1, 2026By 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 names 1

• Kaylee Jo Tucker Former name

Medicare fee-for-service enrollment

Enrolled in AR

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Marys Physician Services LLCGroup PAC ID 4981698032, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Marys Regional Medical Center Hospital, Russellville, AR, CCN 040041

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• St Mary's Physician Services LLC

  • General Practice Physician
  • Russellville, AR
  • NPI 1124084991
  Medicare reassignment Care Compare group NPD
• Healthy Connections Incorporated

  • Federally Qualified Health Center (FQHC)
  • Mena, AR
  • NPI 1588646491
  Medicare reassignment NPD
• Healthy Connections Incorporated

  • Federally Qualified Health Center (FQHC)
  • Texarkana, AR
  • NPI 1518694538
  NPD
• Healthy Connections, Inc.

  • Federally Qualified Health Center (FQHC)
  • Russellville, AR
  • NPI 1295313609
  NPD
• St Marys Physician Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Russellville, AR
  • NPI 1063626117
  NPD
• Healthy Connections Inc

  • Federally Qualified Health Center (FQHC)
  • Malvern, AR
  • NPI 1003282070
  NPD (past)
• Healthy Connections Incorporated

  • Federally Qualified Health Center (FQHC)
  • Hot Springs, AR
  • NPI 1083265979
  NPD (past)
• Healthy Connections Incorporated

  • Federally Qualified Health Center (FQHC)
  • Hot Springs, AR
  • NPI 1124392048
  NPD (past)
• Healthy Connections Incorporated

  • Federally Qualified Health Center (FQHC)
  • Conway, AR
  • NPI 1295430205
  NPD (past)
• Healthy Connections Incorporated

  • Federally Qualified Health Center (FQHC)
  • Bryant, AR
  • NPI 1477131878
  NPD (past)
• Healthy Connections, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sheridan, AR
  • NPI 1033894811
  NPD (past)
• Healthy Connections, Inc.

  • Federally Qualified Health Center (FQHC)
  • Haskell, AR
  • NPI 1265154512
  NPD (past)

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

• Russellville Holdings LLC

  dba St . Mary's Regional Medical Center

  • General Acute Care Hospital
  • Russellville, AR
  • NPI 1033160049
  Care Compare affiliation

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1568213643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SKYLINE DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013395",
            "telephone_number": "479-968-2345",
            "fax_number": "479-890-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SKYLINE DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013395",
            "telephone_number": "479-968-2345",
            "fax_number": "479-890-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "KAYLEE",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "227035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEE",
            "last_name": "TUCKER",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robin Darlene Wise
• Craig Witcher, LPC
• Elizabeth Witt, COTA
• Kasey Wojtek, MA, LPC, CCTP-II
• Brandon James Wolfe
• Wood MD PA
• Lavon Jeneen Wood, M. D.
• Patricia L Wood, MHPP
• Sandra Lynn Wood, RN NURSE PRACTITIONE
• David B Woods, PD

• Family Nurse Practitioner in Russellville, AR
• Providers in Russellville, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.