Individual provider Active NPI

Alicia Wohlfarth, CNP

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1770950867
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.17909-NP Issued in OH
Practice address
4126 N Holland Sylvania Rd
Ste 105
Toledo, OH 43623-3536
Phone
(419) 479-5605
NPI assigned
Aug 25, 2015
Last updated
May 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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 COA.17909-NP OH Primary

Addresses

Primary practice location

4126 N Holland Sylvania Rd
Ste 105
Toledo, OH 43623-3536

Mailing address

4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 473-3561

Other identifiers 1

IdentifierTypeStateIssuer
0098364MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150918000513 OH Practitioner - Nurse Practitioner 5890002158 Reassigns benefits to 2 organizations
I20160621001576 MI Practitioner - Nurse Practitioner 5890002158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Toledo College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

4126 N Hollan D Rd
Toeldo, OH 43623-3536

4235 Secor Rd
Toldeo, OH 43623-4231
Phone (419) 874-3246

6450 Wheatstone CT
Maumee, OH 43537-9402
Phone (419) 866-6200

960 W Wooster St
Bowling Green, OH 43402-2646

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.17909-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated Current Accepting new patients
Toledo Clinic Incorporated CurrentSince Aug 31, 2015 Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Jan 5, 2018 Accepting new patients
Toledo Clinic Incorporated CurrentSince Feb 7, 2018 Accepting new patients
Medical University of Ohio at Toledo Current Accepting new patients
Toledo Clinic Incorporated CurrentSince Aug 31, 2015 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jan 5, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

800 Stewart Rd
Monroe, MI 48162
Phone (734) 240-1800

12623 Eckel Junction Rd
Perrysburg, OH 43551
Phone (567) 368-1434

1325 Conference Dr
Toledo, OH 43614
Phone (419) 383-4541

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

4126 N Holland Sylvania Rd
Ste 105
Toledo, OH 43623
Phone (419) 479-5605

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

Interoperability endpoints

  • Direct secure messaging: awohlfarth38309@direct.utoledo.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1770950867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234231",
            "telephone_number": "419-473-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 N HOLLAND SYLVANIA RD",
            "address_2": "STE 105",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233536",
            "telephone_number": "419-479-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLFARTH",
        "first_name": "ALICIA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17909-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0098364",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.