Individual provider Active NPI

Leslie L Wolfe, NP

  • Nurse Practitioner
  • Grand Island, NE
National Provider Identifier
1699054106
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
111273 Issued in NE
Practice address
3563 Prairieview St Ste 300
Grand Island, NE 68803-4442
Phone
(308) 381-0162
Fax
(308) 389-4445
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 111273 NE Primary

Addresses

Primary practice location

3563 Prairieview St Ste 300
Grand Island, NE 68803-4442

Mailing address

PO Box 9802
Grand Island, NE 68802-9802
Phone (308) 381-0162

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111025000710 NE Practitioner - Nurse Practitioner 4880867514 Reassigns benefits to 1 organization

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
Family Practice of Grand Island P CGroup PAC ID 8123021318, 16 clinicians

Practice addresses (Care Compare)

3563 Prairieview St
Suite 300
Grand Island, NE 68803-4442
Phone (308) 381-0162

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.19 of 100Reported as apm
Quality
88.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111273NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice of Grand Island P C CurrentSince Mar 1, 2015 Accepting new patients

Locations

2116 W Faidley Ave
Ste 400
Grand Island, NE 68803
Phone (308) 381-0162

3563 Prairieview St
Ste 300
Grand Island, NE 68803
Phone (308) 381-0162

3563 Prairieview St
Grand Island, NE 68803
Phone (308) 382-2010

Interoperability endpoints

  • Direct secure messaging: leslie.wolfe@familypractgi.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71731

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1699054106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9802",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688029802",
            "telephone_number": "308-381-0162",
            "fax_number": "308-389-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3563 PRAIRIEVIEW ST STE 300",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034442",
            "telephone_number": "308-381-0162",
            "fax_number": "308-389-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "LESLIE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.