Chasity Wolford
Individual provider Active NPI Family Nurse Practitioner · Phelps, KY
NPI 1932077757 · NPPES record last updated Oct 24, 2025
Key facts
- NPI
- 1932077757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4038842 (KY)
- Practice address
- 60 Phillips Branch Rd
Phelps, KY 41553-9061 - Phone
- (606) 456-8725
- NPI assigned
- Oct 24, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ultra Health LLC
Pineville Community Health Center Inc
Practice addresses (Care Compare)
60 Phillips Branch Rd
Phelps, KY 41553-9061
Phone (731) 394-1145
850 Riverview Ave
Pineville, KY 40977-1452
Phone 6063373051251
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251112003369 | KY | Practitioner - Nurse Practitioner | 6406347905 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4038842 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultra Health LLC | Current |
Accepting new patients |
Locations
366 S Washington St
Clinton, KY 42031
Phone (270) 653-2461
Interoperability endpoints
- https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4038842 | KY | Yes |
Addresses
Primary practice location
60 Phillips Branch Rd
Phelps, KY 41553-9061
Mailing address
60 Phillips Branch Rd
Phelps, KY 41553-9061
Phone (606) 456-8725
Other providers in Phelps, KY
- James Donith Sanders X
- Sound Mind Counseling, LLC
- Danielle Marie Sperow
- Henrietta Lynn Sullivan
- Rhonda Whitt
All providers in Phelps, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.