Active NPI
Douglas P. Wulf, APRN
- Nurse Practitioner
- Minden, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 112241
- Practice address
- 727 E 1St St
Minden, NE 68959-1705 - Phone
- (308) 832-3400
- NPI assigned
- Jun 5, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Kearney Co Health Services
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
| License | State | Type | Specialty |
|---|---|---|---|
| 112241 | NE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kearney Co Health Services | Nurse Practitioner | Current | Accepting new patients |
| Kearney Co Health Services | Current | Accepting new patients | |
| Midwest Emergency Grand Island Inc | Current | Accepting new patients | |
| Alegent Creighton Clinic | Current | Accepting new patients | |
| Kearney Co Health Services | Current | 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
- 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.
-
dba Minden Medical Clinic
- Rural Health Clinic/Center
- Minden, NE
- NPI 1205977873
Nurse Practitioner
-
dba Kearney County Health Services
- Critical Access Hospital
- Minden, NE
- NPI 1477585958
-
- Emergency Medicine Physician
- Grand Island, NE
- NPI 1508357930
-
dba Kearney County Health Services
- Medicare Defined Swing Bed Hospital Unit
- Minden, NE
- NPI 1992846588
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI Health Richard Young Behavioral Health
- Psychiatric Hospital Unit
- Kearney, NE
- NPI 1114942869
-
dba CHI Health Good Samaritan
- General Acute Care Hospital
- Kearney, NE
- NPI 1336184019
-
dba Kearney County Health Services
- Critical Access Hospital
- Minden, NE
- NPI 1477585958
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.