Individual provider Active NPI

Joanne M Wolfe, M.D.

  • Pediatrics Physician
  • Arvada, CO
National Provider Identifier
1851352660
Registry record updated May 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR.0063441 Issued in CO
Practice address
12500 W 58TH Ave Unit 233
Arvada, CO 80002-1104
Phone
(720) 536-5282
Fax
(720) 596-4364
NPI assigned
Mar 31, 2006
Last updated
May 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2001013386 MO
Pediatrics Physician 208000000X DR.0063441 CO Primary

Addresses

Primary practice location

12500 W 58TH Ave Unit 233
Arvada, CO 80002-1104

Mailing address

12500 W 58TH Ave Unit 233
Arvada, CO 80002-1104
Phone (720) 536-5282

Other identifiers 1

IdentifierTypeStateIssuer
DR.0063441OtherCOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000132 MO Practitioner - Pediatric Medicine 2466605217 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0063441COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group, Inc. CurrentSince Aug 1, 2018 Accepting new patients
SSM St. Charles Clinic Medical Group, Inc. Past Accepting new patients
Sunflower Pediatrics, PC Pediatrics PastSince May 14, 2023 Accepting new patients

Locations

1101 Highway K
O Fallon, MO 63366
Phone (636) 379-6347

711 Veterans Memorial Pkwy
Ste 200
Saint Charles, MO 63303
Phone (636) 379-6363

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8319/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joanne.wolfe.1@8319.direct.athenahealth.com

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683936000000",
    "number": "1851352660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 W 58TH AVE UNIT 233",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021104",
            "telephone_number": "720-536-5282",
            "fax_number": "720-596-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 W 58TH AVE UNIT 233",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021104",
            "telephone_number": "720-536-5282",
            "fax_number": "720-596-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "JOANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-05-13",
        "certification_date": "2023-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2001013386",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0063441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DR.0063441",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.