Individual provider Active NPI

Caroline Nicole Wolfe Wurtzel, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Chelsea, MI
National Provider Identifier
1972864403
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
4301100896 Issued in MI
Practice address
14650 E Old US Highway 12 Ste 302
Chelsea, MI 48118-1805
Phone
(855) 450-2020
Fax
(586) 261-5231
NPI assigned
May 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 4301100896 MI Primary

Addresses

Primary practice location

14650 E Old US Highway 12 Ste 302
Chelsea, MI 48118-1805

Mailing address

14650 E Old US Highway 12 Ste 302
Chelsea, MI 48118-1805

Other identifiers 2

IdentifierTypeStateIssuer
0E06376OtherMIMEDICARE
700E063760OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180831001349 MI Practitioner - Hand Surgery 9133358963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Surgery Specialists PCGroup PAC ID 7113835075, 26 clinicians

Practice addresses (Care Compare)

11012 E 13 Mile Rd
Warren, MI 48093-2546
Phone (586) 573-6880

Hospital & facility affiliations

  • Chelsea Hospital Hospital, Chelsea, MI, CCN 230259
  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation Current Accepting new patients
Iha Health Service Corporation CurrentSince Sep 1, 2018 Accepting new patients
Michigan Surgery Specialists, P.C. CurrentSince Jun 1, 2021 Accepting new patients
Iha Health Services Corporation Orthopaedic Surgery CurrentSince Sep 1, 2018 Accepting new patients
Michigan Surgery Specialists, P.C. Orthopaedic Surgery CurrentSince Jun 1, 2021 Accepting new patients
Michigan Surgery Specialists P.C. Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

14650 E Old US Highway 12
Ste 301
Chelsea, MI 48118
Phone (734) 426-1925

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

14650 E Old US Highway 12
Ste 104
Chelsea, MI 48118
Phone (734) 593-5700

14650 E Old US Highway 12
Ste 302
Chelsea, MI 48118
Phone (248) 450-2020

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

31201 Chicago Rd S
Ste C302
Warren, MI 48093

11012 E 13 Mile Rd
Ste 112
Warren, MI 48093
Phone (586) 573-6880

Interoperability endpoints

  • Direct secure messaging: cwurtzel@msspc.emadirect.md

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.

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": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1972864403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 E OLD US HIGHWAY 12 STE 302",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 E OLD US HIGHWAY 12 STE 302",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181805",
            "telephone_number": "855-450-2020",
            "fax_number": "586-261-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURTZEL",
        "first_name": "CAROLINE",
        "middle_name": "NICOLE WOLFE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "MI",
            "license": "4301100896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0E06376",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "700E063760",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

Verify at the official NPI Registry.