Active NPI
Marilyn K Wolpert, ARNP
- Family Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3002139
- Practice address
- 2360 Stony Brook Dr
Louisville, KY 40220-4018 - Phone
- (502) 446-5462
- Fax
- (502) 394-3670
- NPI assigned
- Jun 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71001137A | IN | |
| Family Nurse Practitioner | 363LF0000X | 3002139 | KY | Primary |
Addresses
Primary practice location
2360 Stony Brook Dr
Louisville, KY 40220-4018
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200348470 | Medicaid | IN | |
| 78005659 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001137A | IN | MD | Family Nurse Practitioner |
| 3002139 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Family | Current | Accepting new patients |
| Community Care Health Network LLC | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Family | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Louisville Geriatric Associates | Family | Past | Accepting new patients |
| Louisville Geriatric Associates | Family | Past | Accepting new patients |
| Community Medical Associates, Inc. | Past | Accepting new patients | |
| University Physicians Group - Radiology | Past | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
220 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 280-5315
2051 Clevidence Blvd
Ste A
Clarksville, IN 47129
Phone (812) 280-1720
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
2811 Holmans Ln
Jeffersonville, IN 47130
Phone (812) 288-6225
1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181
2360 Stony Brook Dr
Louisville, KY 40220
Phone (502) 446-5462
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
Interoperability endpoints
- https://api.platform.athenahealth.com/8360/brand/1/csg/1/fhir/r4
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
Family
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1073089850
Family
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Physician Assistant
- Louisville, KY
- NPI 1902264377
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1619061116
-
- Geriatric Medicine (Internal Medicine) Physician
- Jeffersonville, IN
- NPI 1871508614
Family
-
- Internal Medicine Physician
- Jeffersonville, IN
- NPI 1922337617
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1962438507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 STONY BROOK DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402204018",
"telephone_number": "502-446-5462",
"fax_number": "502-394-3670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLPERT",
"first_name": "MARILYN",
"middle_name": "K",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71001137A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3002139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200348470",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78005659",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.