| Amber Wolf, NP | |
|
222 N 7th St, Bismarck, ND 58501-4436 | |
| (701) 323-5300 | |
| (701) 323-5886 |
| Full Name | Amber Wolf |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 222 N 7th St, Bismarck, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114731932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 201851 (North Dakota) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 201851 (North Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caringedge Healthcare Of Minot | Minot, ND | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Primary Care Pllc | 5799223491 | 16 |
| Legacy Medical Llc | 0648698290 | 18 |
| Entity Name | Legacy Medical LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619594637 PECOS PAC ID: 0648698290 Enrollment ID: O20200914001248 |
| Entity Name | Legacy Primary Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265277115 PECOS PAC ID: 5799223491 Enrollment ID: O20240813001785 |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Wolf, NP Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9419 | Amber Wolf, NP 222 N 7th St, Bismarck, ND 58501-4436 Ph: (701) 323-5300 |
Rachael A Trom, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1237 W Divide Ave, Ste 5, Bismarck, ND 58501 Phone: 701-328-8888 Fax: 701-328-8900 |
Sarah Miller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-5422 Fax: 701-323-8645 |
Madison Kay Schatz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 |
Danette Pengilly, GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 N 10th St, Bismarck, ND 58501 Phone: 701-530-7500 Fax: 701-530-7484 |
Jana Rakowski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1040 Tacoma Ave, Bismarck, ND 58504 Phone: 701-323-7452 Fax: 701-323-6982 |
Mrs. Christina R Gisvold, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 |
Lee Ann June Short, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-204-1709 |