NPIMap

Individual provider Active NPI

Amber Dawn Wolfe, APRN-CNP

  • Family Nurse Practitioner
  • Fort Cobb, OK
National Provider Identifier
1760757140
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
87835 Issued in OK
Practice address
111 W. Main St.
Ft. Cobb, OK 73038
Phone
(405) 632-6688
NPI assigned
Mar 18, 2012
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 87835 OK Primary

Addresses

Primary practice location

111 W. Main St.
Ft. Cobb, OK 73038

Mailing address

3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 643-2858

Other identifiers 1

IdentifierTypeStateIssuer
200447170 AMedicaidOK

Other names 1

  • Amber Dawn Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130724000013 OK Practitioner - Nurse Practitioner 3375784036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Variety Care, Inc.Group PAC ID 1557260007, 101 clinicians

Practice addresses (Care Compare)

3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688

6744 NW Cache Rd
Xpress Wellness Urgent Care
Lawton, OK 73505-2702
Phone (580) 536-9355

718 W Petree Rd
Anadarko, OK 73005-6024
Phone (405) 632-6688

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
87835OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Nov 21, 2023 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Nov 21, 2023 Accepting new patients
Variety Care, Inc. Current Accepting new patients
Variety Care, Inc. CurrentSince Apr 3, 2013 Accepting new patients
Variety Care, Inc.C CurrentSince Apr 3, 2013 Accepting new patients
Summit Medical Center Past Accepting new patients
Grady Memorial Hospital Past Accepting new patients
Weatherford Hospital Authority Past Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients

Locations

416 N Main St
Altus, OK 73521
Phone (580) 379-0325

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

111 W Main St
Fort Cobb, OK 73038

6744 NW Cache Rd
Lawton, OK 73505
Phone (580) 536-9355

3000 N Grand Blvd
Oklahoma City, OK 73107
Phone 405632668810209

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

1303 N Washington St
Weatherford, OK 73096
Phone (580) 772-2820

Interoperability endpoints

  • Direct secure messaging: awolfe376875@direct.ochin.org

Organizations & group practices 9

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 10

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": "1332028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1760757140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N GRAND BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731071818",
            "telephone_number": "405-643-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W. MAIN ST.",
            "city": "FT. COBB",
            "state": "OK",
            "postal_code": "73038",
            "telephone_number": "405-632-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-18",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "87835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200447170 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "JONES",
            "middle_name": "DAWN",
            "credential": "APRN-CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Cobb, OK

Sources for this page

Verify at the official NPI Registry.