Individual provider Active NPI

Tarry Annette Wolfe, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Apache Junction, AZ
National Provider Identifier
1982655338
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP4029 Issued in AZ
Practice address
625 N Plaza Dr
Apache Junction, AZ 85120-5501
Phone
(480) 983-0065
Fax
(480) 671-4541
NPI assigned
May 12, 2006
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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 505067 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP4029 AZ Primary

Addresses

Primary practice location

625 N Plaza Dr
Apache Junction, AZ 85120-5501

Mailing address

11361 N 99TH Ave
Peoria, AZ 85345-5470
Phone (480) 983-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20110606000748 AZ Practitioner - Nurse Practitioner 1052459559 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Innovations IncGroup PAC ID 1456500628, 54 clinicians

Practice addresses (Care Compare)

11361 N 99TH Ave
Suite 402
Peoria, AZ 85345-5459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16238CAMDOccupational Therapist
505067CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Innovations, Inc Multi-Specialty CurrentSince Mar 30, 2025 Accepting new patients
Mind 247 Practice LLC CurrentSince Aug 31, 2022 Accepting new patients
Absolute Rehabilitation and Pain Medicine PLLC Multi-Specialty CurrentSince Mar 2, 2018 Accepting new patients
Mind 247 Practice LLC Multi-Specialty CurrentSince Aug 31, 2022 Accepting new patients
Recovery Innovations, Inc CurrentSince Jan 6, 2025 Accepting new patients
Horizon Health and Wellness, Inc. Multi-Specialty Past Accepting new patients
Pacific Coast Mental Health Multi-Specialty PastSince Oct 1, 2009 Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients

Locations

1138 S Higley Rd
Mesa, AZ 85206
Phone (480) 325-3876

1220 S Higley Rd
Ste 201
Mesa, AZ 85206
Phone (480) 529-7125

11361 N 99th Ave
Ste 107
Peoria, AZ 85345
Phone (602) 636-4605

10046 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 894-2880

10046 N Metro Pkwy W
Ste 115
Phoenix, AZ 85051
Phone (602) 674-5515

2701 N 16th St
Ste 316
Phoenix, AZ 85006

2728 N 24th St
Phoenix, AZ 85008
Phone (480) 482-7020

1465 N Scottsdale Rd
Ste 400
Scottsdale, AZ 85257
Phone (602) 834-0404

7320 E Deer Valley Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 502-0250

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1982655338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11361 N 99TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455470",
            "telephone_number": "480-983-0065",
            "fax_number": "480-671-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N PLAZA DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205501",
            "telephone_number": "480-983-0065",
            "fax_number": "480-671-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "TARRY",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "505067",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP4029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

Verify at the official NPI Registry.