Individual provider Active NPI

Brenda S. Wolf, FNP

  • Family Nurse Practitioner
  • Bemidji, MN
National Provider Identifier
1861723330
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R 156527-2 Issued in MN
Practice address
Bemidji VA Clinic
1217 Anne St. NW
Bemidji, MN 56601-5113
Phone
(218) 755-6360
Fax
(218) 557-6399
NPI assigned
Jan 24, 2010
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R 156527-2 MN Primary

Addresses

Primary practice location

Bemidji VA Clinic
1217 Anne St. NW
Bemidji, MN 56601-5113

Mailing address

1217 Anne St NW
Bemidji, MN 56601-5113
Phone (218) 556-7360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20110718000189 MN Practitioner - Nurse Practitioner 9234307398 Reassigns benefits to 1 organization
I20180724000118 TX Practitioner - Nurse Practitioner 9234307398 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R 156527-2MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PHS Indian Hospital CurrentSince Jun 2, 2018 Accepting new patients
Perham Hospital District CurrentSince Sep 1, 2018 Accepting new patients
Perham Hospital District CurrentSince Sep 1, 2018 Accepting new patients
Medexpress Urgent Care Minnesota P.C. Past Accepting new patients

Locations

105 Otter Dr
Ottertail, MN 56571
Phone (218) 367-6111

1000 Coney St W
Perham, MN 56573
Phone (218) 347-1200

Organizations & group practices 4

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": "1264291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1861723330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 ANNE ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015113",
            "telephone_number": "218-556-7360",
            "fax_number": "218-755-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEMIDJI VA CLINIC",
            "address_2": "1217 ANNE ST. NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015113",
            "telephone_number": "218-755-6360",
            "fax_number": "218-557-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "BRENDA",
        "middle_name": "S.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-24",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 156527-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

Verify at the official NPI Registry.