Individual provider Active NPI

Andrew Kenneth Wolfe, DPT

  • Physical Therapist
  • Fitchburg, WI
National Provider Identifier
1710609474
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16093-24 Issued in WI
Practice address
2927 S Fish Hatchery Rd
Fitchburg, WI 53711-6498
Phone
(608) 819-6394
NPI assigned
Sep 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16093-24 WI Primary

Addresses

Primary practice location

2927 S Fish Hatchery Rd
Fitchburg, WI 53711-6498

Mailing address

2927 S Fish Hatchery Rd
Fitchburg, WI 53711-6498
Phone (608) 819-6394

Other practice location 1

3605 Stewart Ave
Wausau, WI 54401-4938
Phone (715) 387-5511

Other practice location 2

2727 Plaza Dr
Wausau, WI 54401-4192
Phone (715) 847-3166

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231103003190 WI Practitioner - Physical Therapist in Private Practice 5991152563 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16093-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc CurrentSince Nov 6, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Nov 6, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Flambeau Hospital Inc CurrentSince Nov 6, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Nov 6, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 6, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Nov 6, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Nov 6, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Nov 6, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Nov 6, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 6, 2023 Accepting new patients
Communication Innovations, Inc PastSince Mar 5, 2023 Accepting new patients
Communication Innovations, LLC PastSince Sep 25, 2022 Accepting new patients

Locations

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

2600 Stewart Ave
Ste 154
Wausau, WI 54401
Phone (715) 848-4088

2727 Plaza Dr
Wausau, WI 54401
Phone (715) 847-3000

3605 Stewart Ave
Wausau, WI 54401
Phone (715) 847-0800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/67ff075a-8289-4f2d-a8eb-5dc1f0d954ab/
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: awolfe337449@direct.thedacare.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1710609474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 S FISH HATCHERY RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537116498",
            "telephone_number": "608-819-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 S FISH HATCHERY RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537116498",
            "telephone_number": "608-819-6394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3605 Stewart Ave",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014938",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2727 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014192",
            "country_code": "US",
            "telephone_number": "715-847-3166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "ANDREW",
        "middle_name": "KENNETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16093-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2727 Plaza Dr",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544014192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.