Stephanie Wolloff, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP027620 Issued in PA

Practice address

1839 Fair Ave
Honesdale, PA 18431-2121

Phone

(570) 251-6500

Fax

(570) 253-5697

NPI assigned

Dec 9, 2014

Last updated

Jun 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Drexel University College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wayne Memorial Community Health CentersGroup PAC ID 3072598937, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Interim Healthcare Services of NE PA, Inc. Home health agency, Blakely, PA, CCN 397477
• Revolutionary Home Health Inc Home health agency, Eynon, PA, CCN 398034
• Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wayne Memorial Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Honesdale, PA
  • NPI 1952395121
  Medicare reassignment Care Compare group NPD
• Wayne Memorial Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Honesdale, PA
  • NPI 1346000569
  NPD

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

• Interim Health Care Services of NE PA Inc.

  • Home Health Agency
  • Blakely, PA
  • NPI 1215904578
  Care Compare affiliation
• Revolutionary Home Health, Inc.

  • Home Health Agency
  • Eynon, PA
  • NPI 1457359747
  Care Compare affiliation
• Wayne Memorial Hospital

  • General Acute Care Hospital
  • Honesdale, PA
  • NPI 1124026182
  Care Compare affiliation

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1801294715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PARK ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 FAIR AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184312121",
            "telephone_number": "570-251-6500",
            "fax_number": "570-253-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLOFF",
        "first_name": "STEPHANIE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dannielle S Wilmot, LSW
• WMH Physicians
• David Steven Wolf
• Janice Elizabeth Wolfenberg, CPM, L.M.
• Aubrie Wolfsberger, MOT, OTR/L
• Women's Health Care of NE PA, PC
• Women's Healthcare of NE PA. PC
• Lori Wood, PHDHP
• Glenn Christopher Woodley, D.P.M.
• Working Hands Occupational Therapy

• Family Nurse Practitioner in Honesdale, PA
• Providers in Honesdale, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.

Verify at the official NPI Registry.