WOLVERINE HEALTHCARE LLC
NPI 1043015837
Nurse Practitioner in Pittsfield, MA

Active since February 15, 2025
82 WENDELL AVE STE 100, PITTSFIELD, MA 01201(617) 517-6340(423) 301-6604 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Feb 15, 2025 (2 updates tracked since 2025).

About Wolverine Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOLVERINE HEALTHCARE LLC (NPI 1043015837) is a healthcare organization registered as a nurse practitioner in Pittsfield, Massachusetts and active in the NPI registry since February 2025. The organization lists Ethan Slabaugh, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1043015837
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameWOLVERINE HEALTHCARE LLC
Location Address82 WENDELL AVE STE 100Pittsfield, MA 01201-7066
Mailing Address82 Wendell Ave Ste 100Pittsfield, MA 01201-7066 · (617) 517-6340 · Fax (423) 301-6604
Fax(423) 301-6604
Organization SubpartNo
Authorized OfficialEthan SlabaughNurse Practitioner · (617) 517-6340
Enumeration DateFebruary 15, 2025
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
NPI 1043015837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
82 WENDELL AVE STE 100, Pittsfield, MA 01201

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Counselor (Mental Health)
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Community/Behavioral Health
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Behavior Analyst
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Nurse Practitioner (Primary Care)
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Nurse Practitioner (Psychiatric/Mental Health)
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
In Home Supportive Care
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Clinic/Center (Corporate Health)
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wolverine Healthcare LLC's NPI number?

The NPI number for Wolverine Healthcare LLC is 1043015837. It was assigned to this organization in the NPPES registry on February 15, 2025.

Where is Wolverine Healthcare LLC located?

Wolverine Healthcare LLC is located at 82 Wendell Ave Ste 100, Pittsfield, MA 01201. The listed phone number is (617) 517-6340.

What is Wolverine Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Wolverine Healthcare LLC was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.