Individual provider Active NPI

Kristina Marie Wolf, FNP-BC

  • Family Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1588460612
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.1000579-NP Issued in CO
Practice address
805 Eagleridge Blvd Ste 140
Pueblo, CO 81008-2354
Phone
(719) 627-4287
NPI assigned
Feb 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.1000579-NP CO Primary

Addresses

Primary practice location

805 Eagleridge Blvd Ste 140
Pueblo, CO 81008-2354

Mailing address

1235 S Walden Cir
Pueblo West, CO 81007-1985
Phone (719) 251-9671

Other practice location 1

805 Eagleridge Blvd Ste 140
Pueblo, CO 81008-2354
Phone (719) 223-9233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260123001460 CO Practitioner - Nurse Practitioner 0547747206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

805 Eagleridge Blvd
Suite 150
Pueblo, CO 81008-2194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.1000579-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trifecta Family Wellness LLC CurrentSince Jan 9, 2025 Accepting new patients

Locations

805 Eagleridge Blvd
Ste 150
Pueblo, CO 81008
Phone (719) 627-4287

Organizations & group practices 1

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": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1588460612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 S WALDEN CIR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810071985",
            "telephone_number": "719-251-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 EAGLERIDGE BLVD STE 140",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082354",
            "telephone_number": "719-627-4287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Eagleridge Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810082354",
            "country_code": "US",
            "telephone_number": "719-223-9233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1000579-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.