Kathy Jolene Wulf, NP
Individual provider Active NPI Nurse Practitioner · Wolf Point, MT
NPI 1730128463 · NPPES record last updated Apr 2, 2024
Key facts
- NPI
- 1730128463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- A066623 (IA)
- Practice address
- 315 Knapp St
Wolf Point, MT 59201-1826 - Phone
- (406) 653-6513
- Fax
- (406) 653-6591
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hawarden Regional Healthcare
Wolf Point Clinic Association Inc
Practice addresses (Care Compare)
1111 11TH St
Hawarden, IA 51023-1903
Phone (712) 551-3100
301 Knapp St
Wolf Point, MT 59201-1826
Phone (406) 653-6437
Hospital & facility affiliations
- Hawarden Regional Healthcare
- Trinity Hospital
- Poplar Community Hospital
- Hawarden Regional Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IA, NE, MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040527000116 | IA | Practitioner - Nurse Practitioner | 1759362502 | Reassigns benefits to 7 organizations |
| I20070928000703 | NE | Practitioner - Nurse Practitioner | 1759362502 | Reassigns benefits to 1 organization |
| I20150206000696 | MT | Practitioner - Nurse Practitioner | 1759362502 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A066623 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawarden Regional Healthcare Clinics LLC | Current |
Accepting new patients | |
| Montgomery County Memorial Hospital | Current |
Accepting new patients | |
| Clarinda Regional Health Center | Current |
Accepting new patients | |
| Hawarden Regional Healthcare Clinics LLC | Current |
Accepting new patients | |
| Hawarden Regional Healthcare | Current |
Accepting new patients | |
| Shelby County Chris a Myrtue Memorial Hospital | Current | Accepting new patients | |
| Unmc Physicians | Current |
Accepting new patients | |
| Northeast Montana Health Services, Inc. | Current | Accepting new patients | |
| Montgomery County Memorial Hospital | Current |
Accepting new patients | |
| Northeast Montana Health Services Inc | Current | Accepting new patients | |
| Hawarden Regional Healthcare | Nurse Practitioner | Current |
Accepting new patients |
| Shelby County Chris a. Myrtue Memorial Hospital | Nurse Practitioner | Current |
Accepting new patients |
| New Century Physicians of Iowa PC | Past | Accepting new patients | |
| All Care Health Center | Past |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Emergency Clinicians Associates, LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850
220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330
2959 US Highway 275
Hamburg, IA 51640
Phone 71238215158070
2959 US Highway 275
#C
Hamburg, IA 51640
1213 Garfield Ave
Harlan, IA 51537
Phone (712) 755-4316
1213 Garfield Ave
Ste 101
Harlan, IA 51537
1111 11th St
Hawarden, IA 51023
Phone (712) 551-3100
1122 12th St
Hawarden, IA 51023
Phone (712) 551-3400
2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270
315 Knapp St
Wolf Point, MT 59201
Phone (406) 653-6500
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/ac22fd4c-796d-4bb8-9292-da1e40231549/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A066623 | IA | Yes |
Addresses
Primary practice location
315 Knapp St
Wolf Point, MT 59201-1826
Mailing address
51265 221St St
Glenwood, IA 51534
Phone (402) 659-0642
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10336 | Other | MIDLANDS CHOICE | |
| 100251147-00 | Medicaid | NE | |
| 0442715 | Medicaid | IA | |
| P00126757 | Other | RR MEDICARE IOWA |
Other providers in Wolf Point, MT
- Natalie Jean Van Houten
- Joy Hansen White
- Wolf Point Clinic Association Inc
- Wolf Point Health Center Pharmacy
- Wolf Point School District
- Mark W Zilkoski
- Mark Zygmond
All providers in Wolf Point, MT · Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.