NPIMap

Individual provider Active NPI

Judith K Wolf, M.D.

  • Gynecologic Oncology Physician
  • Green Bay, WI
National Provider Identifier
1790878726
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
H4856 Issued in TX
Practice address
704 S Webster Ave
Green Bay, WI 54301-3528
Phone
(920) 338-6868
Fax
(920) 338-6869
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X H4856 TX
Obstetrics & Gynecology Physician 207V00000X 307831 NY
Gynecologic Oncology Physician 207VX0201X 71734-20 WI
Gynecologic Oncology Physician 207VX0201X 33916 MN
Gynecologic Oncology Physician 207VX0201X 01074549A IN
Gynecologic Oncology Physician 207VX0201X 307831 NY
Gynecologic Oncology Physician 207VX0201X H4856 TX Primary

Addresses

Primary practice location

704 S Webster Ave
Green Bay, WI 54301-3528

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210

Other practice location 1

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-3282

Other practice location 2

2940 E Banner Gateway Dr
Suite 450
Gilbert, AZ 85234-2168
Phone (480) 256-3609

Other practice location 3

1415 Portland Ave Ste 220
Rochester, NY 14621-3039
Phone (585) 922-4496

Other practice location 4

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5000

Other identifiers 3

IdentifierTypeStateIssuer
P01824838OtherINMEDICARE RR
41320501MedicaidTX
300001068MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwolf167144@eCommunityDirect.com Community Physicians of Indiana Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, WI, MT, SD5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20101111001099 TX Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 4284829532 Reassigns benefits to 1 organization
I20201223001107 NY Practitioner - Obstetrics/Gynecology 4284829532 Reassigns benefits to 3 organizations
I20230815000116 WI Practitioner - Obstetrics/GynecologyPractitioner - Hematology/Oncology 4284829532 Reassigns benefits to 2 organizations
I20231211000984 MT Practitioner - Gynecological Oncology 4284829532 Reassigns benefits to 1 organization
I20240815004162 SD Practitioner - Gynecological Oncology 4284829532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Northeastern Ohio University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monument Health Rapid City Hospital IncGroup PAC ID 6002729506, 560 clinicians
Nuvance Health Medical Practice PCGroup PAC ID 1658468442, 578 clinicians

Practice addresses (Care Compare)

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500

Hospital & facility affiliations

  • Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
307831NYMDGynecologic Oncology Physician
H4856TXMDGynecologic Oncology Physician
71734-20WIMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Obstetrics & Gynecology CurrentSince Jan 2, 2021 Accepting new patients
Billings Clinic Obstetrics & Gynecology CurrentSince Oct 23, 2023 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince May 1, 2025 Accepting new patients
Bellin Memorial Hospital Inc Obstetrics & Gynecology CurrentSince Jul 31, 2023 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Jun 18, 2024 Accepting new patients
Rochester General Hospital CurrentSince Jan 2, 2021 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jun 18, 2024 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Jul 31, 2023 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jan 2, 2021 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince May 1, 2025 Accepting new patients
Billings Clinic Current Accepting new patients
Oconto Hospital & Medical Center Inc Obstetrics & Gynecology CurrentSince Jul 31, 2023 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Jul 31, 2023 Accepting new patients
Billings Clinic CurrentSince Oct 23, 2023 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1415 Portland Ave
Ste 220
Rochester, NY 14621
Phone (585) 922-4496

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

704 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-3784

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

Interoperability endpoints

  • Direct secure messaging: jwolf1024290@direct.emplifyhealth.org
  • Direct secure messaging: jwolf167144@ecommunitydirect.com

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1790878726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7210",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013528",
            "telephone_number": "920-338-6868",
            "fax_number": "920-338-6869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 Excelsior Blvd",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554264702",
            "country_code": "US",
            "telephone_number": "952-993-3282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2940 E Banner Gateway Dr",
            "address_2": "Suite 450",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342168",
            "country_code": "US",
            "telephone_number": "480-256-3609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Portland Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213039",
            "country_code": "US",
            "telephone_number": "585-922-4496",
            "fax_number": "585-922-4442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052707",
            "country_code": "US",
            "telephone_number": "915-215-5000",
            "fax_number": "915-215-8662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JUDITH",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H4856",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "307831",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "WI",
            "license": "71734-20",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MN",
            "license": "33916",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "IN",
            "license": "01074549A",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "307831",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TX",
            "license": "H4856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01824838",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41320501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300001068",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwolf167144@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "7979 N Shadeland Ave Ste 310",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462502042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.