Individual provider Active NPI

John Jason Wolen, MD

  • Specialist
  • Wheeling, WV
National Provider Identifier
1902925100
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22703 Issued in WV
Practice address
21 Armory Dr
Wheeling, WV 26003-6370
Phone
(304) 243-3160
Fax
(304) 243-5095
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22703 WV Primary

Addresses

Primary practice location

21 Armory Dr
Wheeling, WV 26003-6370

Mailing address

109 Mount Wood Rd
Wheeling, WV 26003-2632
Phone (304) 233-2455

Other identifiers 1

IdentifierTypeStateIssuer
3810011004MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070910000168 WV Practitioner - General SurgeryPractitioner - Vascular Surgery 4385625896
I20240710004281 NE Practitioner - General Surgery 4385625896 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
JC Edwards School of Medicine, Marshall University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional West Physicians ClinicGroup PAC ID 2062301609, 136 clinicians

Practice addresses (Care Compare)

2 W 42ND St
Suite 3100
Scottsbluff, NE 69361-0612
Phone (308) 632-2872

Hospital & facility affiliations

  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
  • Kimball Health Services Hospital, Kimball, NE, CCN 281305
  • Box Butte General Hospital Hospital, Alliance, NE, CCN 281360
  • Community Hospital Hospital, Torrington, WY, CCN 531307

Merit-based Incentive Payment System (MIPS)

Final score
80.07 of 100Reported as group
Quality
62.54
Promoting interoperability
98
Improvement activities
40
Cost
72.7

Merit-based Incentive Payment System (MIPS)

Final score
68.47 of 100Reported as group
Quality
53.04
Promoting interoperability
81
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue20
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22703WVMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Box Butte General Hospital CurrentSince Dec 1, 2025 Accepting new patients
Box Butte General Hospital Current Accepting new patients
Box Butte General Hospital CurrentSince Sep 11, 2025 Accepting new patients
Box Butte General Hospital CurrentSince Sep 11, 2025 Accepting new patients
Regional West Physicians Clinic CurrentSince Jul 1, 2024 Accepting new patients
Chadron Community Hospital Corp. CurrentSince Feb 1, 2025 Accepting new patients
Kimball County Hospital CurrentSince Aug 26, 2024 Accepting new patients
Kimball County Hospital CurrentSince Dec 19, 2025 Accepting new patients
Kimball County Hospital CurrentSince Aug 26, 2024 Accepting new patients
Kimball County Hospital Past Accepting new patients
Washington Hospital Past Accepting new patients
Wheeling Hospital Inc Past Accepting new patients
Regional West Physicians Clinic Past Accepting new patients
Regional West Medical Center Past Accepting new patients
Wheeling Hospital, Inc. Past Accepting new patients

Locations

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

255 W 4th St
Kimball, NE 69145
Phone (308) 235-1951

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

2 W 42nd St
Ste 3100
Scottsbluff, NE 69361
Phone (308) 632-2872

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1902925100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MOUNT WOOD RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260032632",
            "telephone_number": "304-233-2455",
            "fax_number": "304-233-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ARMORY DR",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036370",
            "telephone_number": "304-243-3160",
            "fax_number": "304-243-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLEN",
        "first_name": "JOHN",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "22703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011004",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.