Active NPI
Kristina Marie Wolf, FNP-BC
- Family Nurse Practitioner
- Pueblo, CO
National Provider Identifier
1588460612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.1000579-NP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| APN.1000579-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trifecta Family Wellness LLC | Current | 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.
-
- Family Medicine Physician
- Pueblo, CO
- NPI 1215667936
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.