Individual provider Active NPI

Kimberly Ann Wolfe, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1710216429
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4564 Issued in AZ
Practice address
500 W Thomas Rd Ste 680
Phoenix, AZ 85013-4235
Phone
(602) 406-6017
Fax
(602) 406-2144
NPI assigned
Dec 9, 2009
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4564 AZ
Medical Physician Assistant 363AM0700X 4564 AZ Primary

Addresses

Primary practice location

500 W Thomas Rd Ste 680
Phoenix, AZ 85013-4235

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

625 N 6th St Ste 402
Phoenix, AZ 85004-3067
Phone (602) 406-8222

Other practice location 2

500 W Thomas Rd
Ste 720 & Ste 730
Phoenix, AZ 85013
Phone (602) 406-3715

Other practice location 3

3477 S Mercy Rd Ste 108
Gilbert, AZ 85297-0440
Phone (480) 909-3785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150221000301 AZ Practitioner - Physician Assistant 2769707439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

500 W Thomas Rd
680 DHMG St Joseph's Pelvic Pain and Surg
Phoenix, AZ 85013-4235
Phone (602) 406-6017

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
St Josephs Pathology Current Accepting new patients
Palo Verde Hematology Oncology LTD. CurrentSince Jul 25, 2022 Accepting new patients
Dignity Health Past Accepting new patients
Women's Care Arizona, LLC Past Accepting new patients

Locations

14044 W Camelback Rd
Ste 118
Litchfield Pk, AZ 85340
Phone (623) 584-4882

625 N 6th St
Phoenix, AZ 85004
Phone (602) 406-8222

625 N 6th St
Ste 402
Phoenix, AZ 85004
Phone (602) 406-8222

9250 W Thomas Rd
Ste 150
Phoenix, AZ 85037
Phone (623) 478-8091

File 56765
Los Angeles, CA 90074

Organizations & group practices 6

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 4

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": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1710216429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD STE 680",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134235",
            "telephone_number": "602-406-6017",
            "fax_number": "602-406-2144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 N 6th St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850043067",
            "country_code": "US",
            "telephone_number": "602-406-8222",
            "fax_number": "602-604-4722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Thomas Rd",
            "address_2": "Ste 720 & Ste 730",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85013",
            "country_code": "US",
            "telephone_number": "602-406-3715",
            "fax_number": "602-406-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3477 S Mercy Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852970440",
            "country_code": "US",
            "telephone_number": "480-909-3785",
            "fax_number": "480-728-6271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4564",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.