Peggy Ann Wolpert, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71007712A Issued in IN

Practice address

1900 E Main St
Danville, IL 61832-5100

Phone

(217) 554-5383

Fax

(217) 554-4807

NPI assigned

Oct 4, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1588948996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E MAIN ST # 11C",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325100",
            "telephone_number": "217-554-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E MAIN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325100",
            "telephone_number": "217-554-5383",
            "fax_number": "217-554-4807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Grant St",
            "address_purpose": "LOCATION",
            "city": "Cayuga",
            "state": "IN",
            "postal_code": "479288208",
            "country_code": "US",
            "telephone_number": "765-492-3316",
            "fax_number": "756-492-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "503 Anderson St",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "IN",
            "postal_code": "478721008",
            "country_code": "US",
            "telephone_number": "765-569-3182",
            "fax_number": "765-569-2950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLPERT",
        "first_name": "PEGGY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "209008961",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71007712A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300010497",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE",
            "identifier": "71007712A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci Wilt, LCSW
• Wayne Thomas Wing, PA-C
• Travis Scott Winkler
• Danielle Marie Wleklinski
• Jeremiah Jordan Wojtowicz, PHARMD
• Worksource Enterprises
• Jacquelyn Renee Worthington, RD, LD, CDE
• Amy Wozniak, LCSW
• Sharnetria Wright, PHARMD
• Staci Wright, SLP

• Nurse Practitioner in Danville, IL
• Providers in Danville, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.