Christopher A Wolfe, PA-C

Individual provider Active NPI Physician Assistant · Mineville, NY

NPI 1922014562 · NPPES record last updated May 23, 2025

Key facts

NPI
1922014562
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
005007 (NY)
Practice address
33 Tom Phelps Lane
Mineville, NY 12956-0480
Phone
(518) 942-7123
Fax
(518) 942-7041
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Headwaters Health Network (221 clinicians)

Practice addresses (Care Compare)

101 Adirondack Dr
Suite 2
Ticonderoga, NY 12883-9334
Phone (518) 585-6708

24 Fairfield Ave
Schroon Lake, NY 12870-0292
Phone (518) 532-7120

Hospital & facility affiliations

  • Elizabethtown Community Hospital Hospital · Elizabethtown, NY · CCN 331302

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040426000868 NY Practitioner - Physician Assistant 6103813993 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
005007NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network Physician Assistant Current
since Oct 6, 2010
Accepting new patients
Elizabethtown Community Hospital Current
since Feb 1, 2024
Accepting new patients
Hudson Headwaters Health Network Physician Assistant Current
since Oct 6, 2010
Accepting new patients

Locations

9 Carey Rd
Queensbury, NY 12804

101 Adirondack Dr
Ste 2
Ticonderoga, NY 12883
Phone (518) 585-6708

3767 Main St
Warrensburg, NY 12885
Phone (518) 623-2844

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 005007 NY Yes

Addresses

Primary practice location

33 Tom Phelps Lane
Mineville, NY 12956-0480

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other practice location 1

101 Adirondack Dr Ste 2
Ticonderoga, NY 12883-9334
Phone (518) 585-6708

Other identifiers

IdentifierTypeStateIssuer
02346638MedicaidNY

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address christopher.wolfe.1@1823.direct.athenahealth.com
Direct Messaging Address christopher.wolfe.1@1823.direct.athenahealth.com

Other providers in Mineville, NY

All providers in Mineville, NY · Physician Assistant in New York

Sources for this page

Verify at the official NPI Registry.