Marlo Wolff

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-087171 Issued in AL

Practice address

867 County Road 59
Pine Apple, AL 36768-3525

Phone

(251) 746-2197

Fax

(251) 746-2467

NPI assigned

Jun 8, 2015

Last updated

Nov 28, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Certified Registered Nurse Anesthetist (Crna)

Education

At Still University, Arizona School of Dentistry & Oral HLTH, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Health Medical Program, Inc.Group PAC ID 0143219196, shared by 8 NPIs, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: marlo.wolff.1@13116.direct.athenahealth.com

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1619357381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2213",
            "address_2": "713 J L CHESTNUT BLVD",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367022213",
            "telephone_number": "334-874-7428",
            "fax_number": "334-874-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 COUNTY ROAD 59",
            "city": "PINE APPLE",
            "state": "AL",
            "postal_code": "367683525",
            "telephone_number": "251-746-2197",
            "fax_number": "251-746-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "MARLO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-087171",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-087171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseanne Cook, MD
• Jackie Dixon, CRNP
• Allison Owens, CRNP
• Rural Health Medical Program, Inc (Pine Apple Health Center)

• Family Nurse Practitioner in Pine Apple, AL
• Providers in Pine Apple, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.