Individual provider Active NPI

Eli Wolf, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1871178822
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
254725 Issued in AZ
Practice address
345 E Virginia Ave
Phoenix, AZ 85004-1202
Phone
(602) 258-5545
NPI assigned
Mar 11, 2021
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 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
I20211028002969 AZ Practitioner - Nurse Practitioner 0941698609 Reassigns benefits to 1 organization
I20240830003662 CA Practitioner - Nurse Practitioner 0941698609 Reassigns benefits to 1 organization

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
Neighborhood HealthcareGroup PAC ID 5294649406, 153 clinicians

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

LicenseStateTypeSpecialty
254725AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifewell Behavioral Wellness CurrentSince Nov 8, 2021 Accepting new patients
Neighborhood Healthcare CurrentSince Jul 1, 2024 Accepting new patients
Neighborhood Healthcare CurrentSince Jul 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.