Individual provider Active NPI

Douglas P. Wulf, APRN

  • Nurse Practitioner
  • Minden, NE
National Provider Identifier
1700315660
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
112241 Issued in NE
Practice address
727 E 1St St
Minden, NE 68959-1705
Phone
(308) 832-3400
NPI assigned
Jun 5, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 112241 NE Primary

Addresses

Primary practice location

727 E 1St St
Minden, NE 68959-1705

Mailing address

727 E 1St St
Minden, NE 68959-1705
Phone (308) 832-3400

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
I20170725000371 NE Practitioner - Nurse Practitioner 9133499114 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians
Kearney Co Health ServicesGroup PAC ID 8820900780, shared by 3 NPIs, 13 clinicians

Practice addresses (Care Compare)

211 W 33Rd St
Kearney, NE 68845-3484
Phone (308) 865-2141

727 E 1St St
Minden, NE 68959-1705
Phone (308) 832-3400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112241NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kearney Co Health Services Nurse Practitioner CurrentSince Jun 17, 2017 Accepting new patients
Kearney Co Health Services Current Accepting new patients
Midwest Emergency Grand Island Inc CurrentSince Oct 1, 2019 Accepting new patients
Alegent Creighton Clinic CurrentSince Dec 1, 2019 Accepting new patients
Kearney Co Health Services CurrentSince Jun 17, 2017 Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

211 W 33rd St
Kearney, NE 68845
Phone (308) 236-5884

727 E 1st St
Minden, NE 68959
Phone (308) 832-1440

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/afb10dcd-fcfe-4394-bcee-f9c44a02df40/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700315660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 E 1ST ST",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591705",
            "telephone_number": "308-832-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E 1ST ST",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591705",
            "telephone_number": "308-832-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULF",
        "first_name": "DOUGLAS",
        "middle_name": "P.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, NE

Sources for this page

Verify at the official NPI Registry.