Active NPI
Brenda S. Wolf, FNP
- Family Nurse Practitioner
- Bemidji, MN
National Provider Identifier
1861723330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R 156527-2
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 156527-2 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHS Indian Hospital | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Perham Hospital District | Current | 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.
-
- Durable Medical Equipment & Medical Supplies
- Perham, MN
- NPI 1558630012
-
dba MedExpress Urgent Care - Eden Prairie, W 78th St
- Urgent Care Clinic/Center
- Eden Prairie, MN
- NPI 1588025332
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.