Active NPI
Yan Wolfson, MD
- Urology Physician
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME153746
- Practice address
- 120 Bates Ave SW
Winter Haven, FL 33880-2953 - Phone
- (863) 288-0942
- Fax
- (863) 288-0943
- NPI assigned
- Jul 24, 2006
- Last updated
- Jul 17, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 187897 | NY | |
| Urology Physician | 208800000X | ME153746 | FL | Primary |
Addresses
Primary practice location
120 Bates Ave SW
Winter Haven, FL 33880-2953
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other practice location 1
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065
Phone (863) 680-7000
Other practice location 2
435 2nd St NE
Winter Haven, FL 33881-4103
Phone (863) 288-0942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114650000 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ywolfson28921@direct.watsonclinicad.com | Watson Clinic LLP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364
116 Bates Ave SW
Winter Haven, FL 33880-2953
Phone (863) 288-0946
120 Bates Ave
Suite 120
Winter Haven, FL 33880-2953
Phone (863) 288-0960
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
2237 Lithia Ctr LN
Valrico, FL 33596-5676
Phone (813) 662-0123
2675 Winkler Ave
Fort Myers, FL 33901-9328
2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328
435 2ND St NE
Winter Haven, FL 33881-4103
Phone (863) 288-0942
953 Del Webb Blvd E
Sun City Center, FL 33573-6669
Phone (813) 634-6880
Hospital & facility affiliations
- Pinnacle Home Care
- Winter Haven Hospital
- Bartow Regional Medical Center
- Adventhealth Lake Wales
- Adventhealth Orlando
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME153746 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Halifax Healthcare Systems Inc | Urology | Current | Accepting new patients |
| Millennium Physician Group LLC | Current | Accepting new patients |
Locations
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700
435 2nd St NE
Winter Haven, FL 33881
Phone (863) 288-0942
Interoperability endpoints
- yan.wolfson.1@4290.direct.athenahealth.com
- yaw9006@direct.nyp.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
dba HHCSI Halifax Family Health Center
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
Urology
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Lake Wales
- General Acute Care Hospital
- Lake Wales, FL
- NPI 1053972760
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Bartow, FL
- NPI 1558734095
-
dba Pinnacle Home Care
- Home Health Agency
- Winter Haven, FL
- NPI 1245811876
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1760404529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BATES AVE SW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338802953",
"telephone_number": "863-288-0942",
"fax_number": "863-288-0943"
}
],
"practiceLocations": [
{
"address_1": "1600 Lakeland Hills Blvd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338053065",
"country_code": "US",
"telephone_number": "863-680-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "435 2nd St NE",
"address_purpose": "LOCATION",
"city": "Winter Haven",
"state": "FL",
"postal_code": "338814103",
"country_code": "US",
"telephone_number": "863-288-0942",
"fax_number": "863-288-0943",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLFSON",
"first_name": "YAN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "187897",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME153746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114650000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ywolfson28921@direct.watsonclinicad.com",
"affiliation": "Y",
"endpointDescription": "Direct Messaging Address",
"affiliationName": "Watson Clinic LLP",
"address_1": "1430 Lakeland Hills Blvd",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338053202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.