Individual provider Active NPI

Ian Alexander Wolffe

  • Family Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1790306405
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704318347 Issued in MI
Practice address
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone
(248) 471-8147
NPI assigned
May 4, 2020
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704318347 MI Primary
Emergency Registered Nurse 163WE0003X 4704318347 MI

Addresses

Primary practice location

28050 Grand River Ave
Farmington Hills, MI 48336-5919

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

7111 Dixie Hwy # 142
Clarkston, MI 48346-2077
Phone (248) 567-2334

Other practice location 2

353 Pinewood Cir
Plymouth, MI 48170-6102
Phone (313) 505-7552

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL icawolffe@gmail.com
Direct Messaging Address iwolffe94748@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210712000172 MI Practitioner - Nurse Practitioner 6709288905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Mobile ClinicGroup PAC ID 9032532528, 9 clinicians

Practice addresses (Care Compare)

3050 Steeple Hill Rd
White Lake, MI 48383-1864
Phone (248) 563-5735

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704318347MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Mobile Clinic CurrentSince Jul 15, 2024 Accepting new patients
Livingston Eyecare Associates, LLC PastSince Dec 1, 2011 Accepting new patients

Locations

7111 Dixie Hwy
Clarkston, MI 48346
Phone (248) 567-2334

Interoperability endpoints

  • Direct secure messaging: iwolffe94748@direct.beaumont.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1790306405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28050 GRAND RIVER AVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365919",
            "telephone_number": "248-471-8147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7111 Dixie Hwy # 142",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483462077",
            "country_code": "US",
            "telephone_number": "248-567-2334",
            "fax_number": "248-566-6980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "353 Pinewood Cir",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481706102",
            "country_code": "US",
            "telephone_number": "313-505-7552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFFE",
        "first_name": "IAN",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704318347",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MI",
            "license": "4704318347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "icawolffe@gmail.com",
            "affiliation": "N",
            "address_1": "353 Pinewood Cir",
            "city": "Plymouth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481706102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iwolffe94748@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "28050 Grand River Ave",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483365919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.