Sara Lynne Wolfson, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

J-126582 Issued in IA

Practice address

2104 S 110TH St
Omaha, NE 68144-3115

Phone

(402) 201-1977

NPI assigned

Oct 28, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Unmc Physicians

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1417912114
  Medicare reassignment NPD
• Align Care

  • Dentist
  • Omaha, NE
  • NPI 1730466228
  NPD (past)
• The University of Nebraska Board of Regents

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1922325265
  NPD (past)
• University of Nebraska Board of Regents

  • Eyewear Supplier
  • Omaha, NE
  • NPI 1316979628
  NPD (past)

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1649570250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 S 110TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443115",
            "telephone_number": "402-201-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 S 110TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443115",
            "telephone_number": "402-201-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFSON",
        "first_name": "SARA",
        "middle_name": "LYNNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "J-126582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrence Wolfe
• Trevor Austin Wolfe
• Megan Wolff
• Victor T Wolff, PT
• Douglas Wolfson
• Elliot Mathias Wolkenhauer
• Jessica J Wollberg, APRN
• Joshua Wollen, PHARMD
• Susan Lee Wollenburg, PA-C
• Elizabeth Marie Wollmann, MSW, PLMHP

• Gerontology Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Gerontology Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.