Kelsey Wolfe, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F05190981 Issued in NM

Practice address

407 S Schwartz Ave Ste 202
Farmington, NM 87401-5925

Phone

(505) 609-6770

Fax

(505) 609-6775

NPI assigned

Aug 8, 2019

Last updated

Nov 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, CO2 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Total HealthcareGroup PAC ID 1052214814, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013
• Southwest Memorial Hospital Hospital, Cortez, CO, CCN 061327

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.

• Total Healthcare

  dba PRHG PC Horse Gulch

  • Family Medicine Physician
  • Durango, CO
  • NPI 1144831033
  Medicare reassignment Care Compare group NPD
• San Juan Regional Medical Center Inc

  dba SJHP Gastroenterology

  • Gastroenterology Physician
  • Farmington, NM
  • NPI 1639662901
  Medicare reassignment NPD
• San Juan Regional Medical Center Inc

  dba San Juan Regional Cardiology

  • Cardiovascular Disease Physician
  • Farmington, NM
  • NPI 1033327770
  NPD
• San Juan Regional Medical Center Inc

  dba SJHP Family Medicine Farmington

  • Family Medicine Physician
  • Farmington, NM
  • NPI 1710589015
  NPD
• Total Healthcare

  dba Pikes Peak Cancer Specialists

  • Hematology & Oncology Physician
  • Colorado Springs, CO
  • NPI 1669420410
  NPD
• Catholic Health Initiatives Colorado

  dba Profile EAP

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
  • NPI 1376690875
  NPD (past)
• Total Healthcare

  dba PRMM PC MMD

  • Family Medicine Physician
  • Durango, CO
  • NPI 1073869467
  NPD (past)
• Total Healthcare

  dba Prbypc Bayfield

  • Family Medicine Physician
  • Bayfield, CO
  • NPI 1992316095
  NPD (past)

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

• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Aztec, NM
  • NPI 1770123382
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba Mercy Hospital

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1083611644
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba MMC DUC Diagnostic Imaging

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1588204010
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba Mercy Imaging Center

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1679113104
  Care Compare affiliation
• Southwest Health System Inc

  dba Southwest Memorial Hospital

  • Critical Access Hospital
  • Cortez, CO
  • NPI 1649241571
  Care Compare affiliation
• Southwest Health System, Inc.

  dba Southwest Memorial Ambulance

  • Land Ambulance
  • Cortez, CO
  • NPI 1679058184

  Hospital

  Care Compare affiliation
• Southwest Health System, Inc.

  dba Southwest Memorial Ambulance

  • Non-emergency Medical Transport (VAN)
  • Cortez, CO
  • NPI 1992328074

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1801441647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844088",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844088",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S SCHWARTZ AVE STE 202",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015925",
            "telephone_number": "505-609-6770",
            "fax_number": "505-609-6775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Mercado St Ste 160",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813017309",
            "country_code": "US",
            "telephone_number": "970-385-9850",
            "fax_number": "970-385-3854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "KELSEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "F05190981",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994747-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Paris Wimbish, CPSW, CCSS, LSAA
• James B Winblad, M.D.
• Kenneth P. Wingrove, D.C.
• Nicholas Richard Withem, DMD
• Peter C Witt, MD
• Preston Wolff, PT, DPT
• Ashlee Wood
• Dennis J Woods, CRNA
• Chrishana Nicole Woody
• Heather Woolf

• Nurse Practitioner in Farmington, NM
• Providers in Farmington, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.