Individual provider Active NPI

Leigh Ann Wolfe, CFNP

  • Family Nurse Practitioner
  • Natchez, MS
National Provider Identifier
1669584082
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R855569 Issued in MS
Practice address
46 SGT Prentiss Dr
Suite 201
Natchez, MS 39120-4792
Phone
(601) 442-3701
Fax
(601) 442-4785
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R855569 MS Primary

Addresses

Primary practice location

46 SGT Prentiss Dr
Suite 201
Natchez, MS 39120-4792

Mailing address

46 SGT Prentiss Dr
Suite 201
Natchez, MS 39120-4792
Phone (601) 442-3701

Other names 1

  • Leigh Ann Hudnall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20140604000071 MS Practitioner - Nurse Practitioner 6901029370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ms State Department of HealthGroup PAC ID 0244129245, 21 clinicians

Practice addresses (Care Compare)

1850 Cheryl St
Clarksdale, MS 38614-7219
Phone (662) 624-8316

570 E Woodrow Wilson Ave
Jackson, MS 39216-4538
Phone (601) 576-7345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R855569MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ms State Dept of Health CurrentSince Oct 24, 2016 Accepting new patients
Mississippi State Department of Health Current Accepting new patients
Ms State Department of Health CurrentSince Oct 24, 2016 Accepting new patients
Natchez Regional Clinic Past Accepting new patients

Locations

570 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 576-7345

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1669584082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SGT PRENTISS DR",
            "address_2": "SUITE 201",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204792",
            "telephone_number": "601-442-3701",
            "fax_number": "601-442-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SGT PRENTISS DR",
            "address_2": "SUITE 201",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204792",
            "telephone_number": "601-442-3701",
            "fax_number": "601-442-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R855569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "HUDNALL",
            "middle_name": "ANN",
            "credential": "CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.