Active NPI
Eli Wolf, FNP-C
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 254725
- Practice address
- 345 E Virginia Ave
Phoenix, AZ 85004-1202 - Phone
- (602) 258-5545
- NPI assigned
- Mar 11, 2021
- Last updated
- Sep 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95024986 | CA | |
| Family Nurse Practitioner | 363LF0000X | 254725 | AZ | Primary |
Addresses
Primary practice location
345 E Virginia Ave
Phoenix, AZ 85004-1202
Mailing address
345 E Virginia Ave
Phoenix, AZ 85004-1202
Phone (602) 258-5545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
460 N Elm St
Escondido, CA 92025-3002
Phone (760) 520-8100
488 E Valley Pkwy
Suite 404
Escondido, CA 92025-3379
Phone (760) 466-9800
855 E Madison Ave
El Cajon, CA 92020-3819
Phone (619) 440-2751
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254725 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifewell Behavioral Wellness | Current | Accepting new patients | |
| Neighborhood Healthcare | Current | Accepting new patients | |
| Neighborhood Healthcare | Current | Accepting new patients |
Locations
6915 E Main St
Ste 200
Mesa, AZ 85207
202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404
2715 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-4331
4451 E Oak St
Phoenix, AZ 85008
Phone (602) 957-2220
10844 N 23rd Ave
Ste 200
Phoenix, AZ 85029
Phone (602) 353-2340
855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751
425 N Date St
Escondido, CA 92025
Phone (760) 737-2035
460 N Elm St
Escondido, CA 92025
Phone (760) 520-8100
215 S Hickory St
Escondido, CA 92025
Phone (619) 354-3833
425 N Date St
#0
Escondido, CA 92025
488 E Valley Pkwy
Ste 404
Escondido, CA 92025
Phone (760) 739-7666
488 E Valley Pkwy
Ste 411
Escondido, CA 92025
Phone (760) 525-1079
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- eli.wolfnp.p1@direct.lifewell.nextgenshare.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.
-
dba Neighborhood Healthcare - Escondido
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1598703647
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1417050337
-
dba Neighborhood Healthcare - Beaumont
- Federally Qualified Health Center (FQHC)
- Beaumont, CA
- NPI 1629601653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1871178822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 E VIRGINIA AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041202",
"telephone_number": "602-258-5545",
"fax_number": "602-252-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E VIRGINIA AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041202",
"telephone_number": "602-258-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "ELI",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-11",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95024986",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "254725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.