Individual provider Active NPI

Amy Wolfe, R.N.P.

  • Primary Care Nurse Practitioner
  • East Palo Alto, CA
National Provider Identifier
1952424533
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
546711 Issued in CA
Practice address
1798 Bay Rd # a
East Palo Alto, CA 94303-1611
Phone
(650) 330-7400
Fax
(650) 321-1156
NPI assigned
Apr 9, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 546711 CA Primary

Addresses

Primary practice location

1798 Bay Rd # a
East Palo Alto, CA 94303-1611

Mailing address

1798 Bay Rd # a
East Palo Alto, CA 94303-1611
Phone (650) 330-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190213000660 CA Practitioner - Nurse Practitioner 8022356260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peninsula Sleep Center IncGroup PAC ID 2961441092, 4 clinicians

Practice addresses (Care Compare)

1720 El Camino Real
Suite 105
Burlingame, CA 94010-3211
Phone (650) 779-4079

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.13 of 100Reported as group
Quality
88.89
Promoting interoperability
100
Improvement activities
40
Cost
68.2

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Sleep Center Inc CurrentSince Nov 1, 2024 Accepting new patients
South County Community Health Center Inc CurrentSince Mar 19, 2019 Accepting new patients
South County Community Health Center Inc CurrentSince Mar 19, 2019 Accepting new patients

Locations

1720 El Camino Real
Ste 105
Burlingame, CA 94010
Phone (650) 779-4055

1798 Bay Rd
Ste A
East Palo Alto, CA 94303
Phone (650) 330-7400

1885 Bay Rd
East Palo Alto, CA 94303
Phone (650) 330-7400

Interoperability endpoints

  • Direct secure messaging: awolfe240626@hisp.ehr.sutterhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1952424533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1798 BAY RD # A",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031611",
            "telephone_number": "650-330-7400",
            "fax_number": "650-321-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 BAY RD # A",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031611",
            "telephone_number": "650-330-7400",
            "fax_number": "650-321-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "AMY",
        "credential": "R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "546711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.