Nicole Suzette Wolfe, CNP-F

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.17025 Issued in OH

Practice address

3710 Hieber Rd
Bucyrus, OH 44820-9305

Phone

(419) 561-0193

NPI assigned

May 7, 2009

Last updated

Apr 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Third Street Community Clinic, Inc.Group PAC ID 2365423977, shared by 13 NPIs, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Third Street Community Clinic Inc

  dba Shelby Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Shelby, OH
  • NPI 1811364706
  Medicare reassignment NPD
• Third Street Community Clinic Inc

  dba Five Points Primary Care

  • Federally Qualified Health Center (FQHC)
  • Mansfield, OH
  • NPI 1972053452
  Medicare reassignment NPD
• Third Street Community Clinic, Inc

  dba Cline Avenue Health and Wellness

  • Federally Qualified Health Center (FQHC)
  • Mansfield, OH
  • NPI 1720407554
  Medicare reassignment NPD
• Third Street Community Clinic, Inc.

  dba Malabar Care Connect

  • Federally Qualified Health Center (FQHC)
  • Mansfield, OH
  • NPI 1306499314
  Medicare reassignment NPD
• Third Street Community Clinic, Inc.

  dba Bucyrus Health and Wellness

  • Federally Qualified Health Center (FQHC)
  • Bucyrus, OH
  • NPI 1629620109
  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375
  NPD
• Third Street Community Clinic, Inc

  dba Cornerstone OB/GYN

  • Primary Care Clinic/Center
  • Mansfield, OH
  • NPI 1558576116
  NPD (past)

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1609000454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 HIEBER RD",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448209305",
            "telephone_number": "419-561-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 HIEBER RD",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448209305",
            "telephone_number": "419-561-0193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6430 Knauss Rd",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "OH",
            "postal_code": "448829647",
            "country_code": "US",
            "telephone_number": "419-561-0193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 N Pennington St",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "OH",
            "postal_code": "448829408",
            "country_code": "US",
            "telephone_number": "419-927-6552",
            "fax_number": "419-927-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "NICOLE",
        "middle_name": "SUZETTE",
        "name_prefix": "Mrs.",
        "credential": "CNP-F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2022-04-13",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17025-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.17025",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN332536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Lynn Whiteamire, LISW
• Katherine Wilkinson, COTA/L
• Barbara Ann Wirebaugh, LISW
• Daniel L Wirebaugh, CDCA
• Micah Daniel Wirebaugh, CDCA
• Brooke Ashton Woodrum, QMHS
• Rhonda J Worden, RN
• Michael W Worobiec, MD
• Wynford Local
• Peter Jonathan Yeager, MD

• Family Nurse Practitioner in Bucyrus, OH
• Providers in Bucyrus, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.