Individual provider Active NPI

Cheryl Denise Wolfe, M.D.

  • Obstetrics & Gynecology Physician
  • Grand Rapids, MI
National Provider Identifier
1962497909
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301503343 Issued in MI
Practice address
80 68TH St SE Ste 301
Grand Rapids, MI 49548-6980
Phone
(616) 391-3302
Fax
(616) 391-3303
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301503343 MI Primary

Addresses

Primary practice location

80 68TH St SE Ste 301
Grand Rapids, MI 49548-6980

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cwolfe282423@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041005000074 IL Practitioner - Obstetrics/GynecologyPractitioner - General Surgery 1456310713 Reassigns benefits to 1 organization
I20210120000291 MI Practitioner - Obstetrics/Gynecology 1456310713 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Center of West Michigan CurrentSince Mar 7, 2023 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Mar 1, 2021 Accepting new patients
Spectrum Health Primary Care Partners Obstetrics & Gynecology CurrentSince Mar 1, 2021 Accepting new patients
Rush University Medical Center Obstetrics & Gynecology CurrentSince Oct 1, 2018 Accepting new patients
Rush University Medical Group Obstetrics & Gynecology CurrentSince Oct 1, 2018 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Mar 7, 2023 Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

2600 S Michigan Ave
Ste 305
Chicago, IL 60616
Phone (312) 326-4500

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

1645 W Jackson Blvd
Chicago, IL 60612
Phone (312) 942-2200

1645 W Jackson Blvd
Ste 310
Chicago, IL 60612
Phone (312) 850-7798

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

221 Michigan St NE
Ste 600
Grand Rapids, MI 49503
Phone (616) 774-7035

80 68th St SE
Ste 301
Grand Rapids, MI 49548
Phone (616) 391-3302

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

2750 E Beltline Ave NE
Fl 3
Grand Rapids, MI 49525
Phone (616) 447-5820

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

7 Atkinson Dr
Ste 200
Ludington, MI 49431
Phone (231) 843-2664

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

Interoperability endpoints

  • Direct secure messaging: cwolfe282423@epic00.shdirect.org
  • Direct secure messaging: cwolfe129281@direct.rush.rush-health.com
  • Direct secure messaging: cwolfe282423@epic00.corewelldirect.org

Organizations & group practices 6

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1962497909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 68TH ST SE STE 301",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495486980",
            "telephone_number": "616-391-3302",
            "fax_number": "616-391-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "CHERYL",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301503343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwolfe282423@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "80 68th St SE Ste 301",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495486980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "80 68th St SE Ste 301",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495486980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.