NPIMap

Individual provider Active NPI

Laura Wulff, MD

  • Family Medicine Physician
  • Bainbridge Is, WA
National Provider Identifier
1861629776
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.60400910 Issued in WA
Practice address
123 Bjune Dr SE # We
Bainbridge Is, WA 98110-2459
Phone
(206) 842-3222
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.60400910 WA Primary

Addresses

Primary practice location

123 Bjune Dr SE # We
Bainbridge Is, WA 98110-2459

Mailing address

1947 Claret Loop NW
Poulsbo, WA 98370-8381
Phone (605) 310-0824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140224000631 WA Practitioner - Family Practice 1153507207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Sanford School of Medicine of University of South Dakota, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson County Public Hospital District No 2Group PAC ID 4789593708, 151 clinicians

Practice addresses (Care Compare)

294843 US Hwy 101
Quilcene, WA 98376-6000
Phone 3603853991360765

89 Breaker LN
Port Ludlow, WA 98365-9766
Phone (360) 437-5067

Hospital & facility affiliations

  • Jefferson Healthcare Home Health Home health agency, Port Townsend, WA, CCN 507050
  • Jefferson Healthcare Hospital, Port Townsend, WA, CCN 501323
  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.60400910WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Public Hospital District No 2 CurrentSince Jan 1, 2018 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Jan 1, 2018 Accepting new patients
Member Plus Family Health PLLC Family Medicine CurrentSince Aug 15, 2020 Accepting new patients

Locations

123 Bjune Dr SE
Ste 101
Bainbridge Island, WA 98110
Phone (206) 842-3222

89 Breaker Ln
Port Ludlow, WA 98365
Phone (360) 437-5067

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

Interoperability endpoints

  • Direct secure messaging: lwulff838627@wm.providencedirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1861629776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 CLARET LOOP NW",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708381",
            "telephone_number": "605-310-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BJUNE DR SE # WE",
            "city": "BAINBRIDGE IS",
            "state": "WA",
            "postal_code": "981102459",
            "telephone_number": "206-842-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULFF",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD.60400910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Is, WA

Sources for this page

Verify at the official NPI Registry.