Active NPI
Tiffany Jane Wolfe, FNP-C
- Family Nurse Practitioner
- Waverly, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.13366-NP
- Practice address
- 12340 State Route 104
Waverly, OH 45690-8968 - Phone
- (740) 941-5180
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.13366-NP | OH | Primary |
Addresses
Primary practice location
12340 State Route 104
Waverly, OH 45690-8968
Mailing address
605 Washington St
Portsmouth, OH 45662-3919
Phone (740) 353-5153
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adena.fam.med.waverly@adena.medicity.net |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12340 State Route 104
Waverly, OH 45690-8968
Phone (740) 941-5180
Hospital & facility affiliations
- Adena Regional Medical Center
- Adena Pike Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.13366-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adena Medical Group LLC | Current | Accepting new patients | |
| City of Portsmouth | Current | Accepting new patients | |
| City of Portsmouth | Current | Accepting new patients |
Locations
272 Hospital Rd
Ste 6
Chillicothe, OH 45601
4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570
605 Washington St
Portsmouth, OH 45662
Phone (740) 353-0552
605 Washington St
Fl 2
Portsmouth, OH 45662
12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180
Interoperability endpoints
- twolfe1166071@direct.osumc.edu
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Chillicothe, OH
- NPI 1235468083
-
- Public Health or Welfare Agency
- Portsmouth, OH
- NPI 1790847101
-
- Ambulance
- Portsmouth, OH
- NPI 1316452360
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chillicothe, OH
- NPI 1902839673
-
- Critical Access Hospital
- Waverly, OH
- NPI 1720018971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1669735940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 WASHINGTON ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456623919",
"telephone_number": "740-353-5153",
"fax_number": "740-351-0694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12340 STATE ROUTE 104",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456908968",
"telephone_number": "740-941-5180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "TIFFANY",
"middle_name": "JANE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.13366-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adena.fam.med.waverly@adena.medicity.net",
"affiliation": "N",
"address_1": "12340 State Route 104",
"city": "Waverly",
"state": "OH",
"country_code": "US",
"postal_code": "456908968",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waverly, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.