Individual provider Active NPI

Pamela V Wolfe, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1942531694
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
111109 Issued in NE
Practice address
5539 S 27TH St Ste 101
Lincoln, NE 68512-1600
Phone
(402) 261-6212
NPI assigned
Jan 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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 111109 NE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 111109 NE Primary

Addresses

Primary practice location

5539 S 27TH St Ste 101
Lincoln, NE 68512-1600

Mailing address

5539 S 27TH St Ste 101
Lincoln, NE 68512-1600
Phone (402) 261-6212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111109NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lobo Psychiatric Services Family Current Accepting new patients
Ear, Nose & Throat Specialties, P.C. PastSince Apr 11, 2021 Accepting new patients

Locations

5539 S 27th St
Ste 101
Lincoln, NE 68512
Phone (402) 261-6212

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1942531694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5539 S 27TH ST STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121600",
            "telephone_number": "402-261-6212",
            "fax_number": "402-817-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5539 S 27TH ST STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121600",
            "telephone_number": "402-261-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "PAMELA",
        "middle_name": "V",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111109",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "111109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.