Individual provider Active NPI

Stephen William Wolfe, M.D.

  • Neurology Physician
  • Rensselaer, IN
National Provider Identifier
1891029609
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01067313A Issued in IN
Practice address
1104 E Grace St
Rensselaer, IN 47978
Phone
(219) 866-5141
NPI assigned
Sep 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 01067313A IN
Neurology Physician 2084N0400X 01067313A IN Primary

Addresses

Primary practice location

1104 E Grace St
Rensselaer, IN 47978

Mailing address

PO Box 93
Dayton, IN 47941-0093
Phone (219) 866-5141

Other practice location 1

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-5141

Other practice location 2

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-5141

Other identifiers 2

IdentifierTypeStateIssuer
P01325271OtherINRAILROAD MEDICARE
200999190MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100824000437 IN Practitioner - NeurologyPractitioner - Neuropsychiatry 4587788823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Neuropsychiatry
Education
Indiana University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1104 E Grace St
Renssalaer, IN 47978-3211
Phone (219) 866-5141

412 N Monroe St
Williamsport, IN 47993-1049
Phone (765) 762-4056

Hospital & facility affiliations

  • Franciscan Health Rensselaer, Inc Hospital, Rensselaer, IN, CCN 151324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01067313AINMDNeuromuscular Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wolfe Neurology, LLC Neurology CurrentSince Mar 24, 2015 Accepting new patients
Indiana Neuroscience Assoc Inc Neurology Past Accepting new patients
Josephson-Wallack-Munshower Neurology PC Neurology PastSince May 11, 2025 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026

412 N Monroe St
Williamsport, IN 47993
Phone (765) 762-2496

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1753
  • Direct secure messaging: swolfe10405@direct.franciscanalliance.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1891029609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "DAYTON",
            "state": "IN",
            "postal_code": "479410093",
            "telephone_number": "219-866-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 E GRACE ST",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "47978",
            "telephone_number": "219-866-5141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 E Grace St",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "IN",
            "postal_code": "47978",
            "country_code": "US",
            "telephone_number": "219-866-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1104 E Grace St",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "IN",
            "postal_code": "47978",
            "country_code": "US",
            "telephone_number": "219-866-5141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "STEPHEN",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-25",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "IN",
            "license": "01067313A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01067313A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01325271",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200999190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, IN

Sources for this page

Verify at the official NPI Registry.