NPIMap

Individual provider Active NPI

Ryan Christopher Wolbach, FNP

  • Nurse Practitioner
  • Summerfield, NC
National Provider Identifier
1881384485
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5019898 Issued in NC
Practice address
4431 US Highway 220 N
Summerfield, NC 27358-9411
Phone
(336) 643-7711
Fax
(336) 643-3047
NPI assigned
May 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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 APN27286 SC
Nurse Practitioner 363L00000X 5019898 NC Primary

Addresses

Primary practice location

4431 US Highway 220 N
Summerfield, NC 27358-9411

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230525003425 SC Practitioner - Nurse Practitioner 0143686634 Reassigns benefits to 1 organization
I20240515002511 NC Practitioner - Nurse Practitioner 0143686634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, shared by 56 NPIs, 2,324 clinicians
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians

Practice addresses (Care Compare)

10620 Park Rd
Suite 202
Charlotte, NC 28210-0106
Phone (704) 667-0920

1585 Forney Creek Pkwy
Suite 2100
Denver, NC 28037-9520
Phone (980) 212-6230

4431 US Hwy 220 N
Summerfield, NC 27358-9411
Phone (336) 643-7711

Hospital & facility affiliations

  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN27286SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Jan 26, 2026 Accepting new patients
Newton Family Medicine, LLC CurrentSince Apr 1, 2023 Accepting new patients
Wake Forest Health Network, LLC CurrentSince May 1, 2024 Accepting new patients
Wake Forest Health Network LLC CurrentSince May 1, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 26, 2026 Accepting new patients
Carolinas Physicians Network, Inc CurrentSince Jan 26, 2026 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Cornerstone Health Care LLC Past Accepting new patients
Wake Forest Health Network LLC Past Accepting new patients

Locations

10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988

1585 Forney Creek Pkwy
Ste 2100
Denver, NC 28037
Phone (704) 489-0365

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

170 Medical Park Rd
Ste 140A
Mooresville, NC 28117
Phone (704) 618-7894

4431 US Highway 220 N
Summerfield, NC 27358
Phone (336) 643-7711

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

1477 Tobias Gadson Blvd
Charleston, SC 29407
Phone (843) 766-7696

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26934/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rwolbach2889041@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 11

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 11

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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1881384485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 US HIGHWAY 220 N",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589411",
            "telephone_number": "336-643-7711",
            "fax_number": "336-643-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLBACH",
        "first_name": "RYAN",
        "middle_name": "CHRISTOPHER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN27286",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5019898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, NC

Sources for this page

Verify at the official NPI Registry.