NICOLE WOLF
NPI 1104365014
Physician Assistant in Sault Sainte Marie, MI

Active since February 13, 2017PECOS EnrolledAccepts Medicare Assignment
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783(906) 635-4460 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2017, Feb 13, 2017 (2 updates tracked since 2017).

About Nicole Wolf NPPES

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

NICOLE WOLF (NPI 1104365014) is an individual physician assistant in Sault Sainte Marie, Michigan and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Mclaren Northern Michigan, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104365014
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE WOLF
Location Address500 OSBORN BLVDSault Sainte Marie, MI 49783-1822
Mailing Address500 Osborn BlvdSault Sainte Marie, MI 49783-1822
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 13, 2017
Last NPPES UpdateApril 24, 20172 updates tracked since enumeration
NPI 1104365014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
500 OSBORN BLVD, Sault Sainte Marie, MI 49783

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Wolf is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325324536
PECOS Enrollment IDI20170424000499
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
106 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services28 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231322
Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49783 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Critical Care Medicine)
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Speech-Language Pathologist
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Physical Therapist
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Emergency Medicine
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Counselor (Mental Health)
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Nurse Practitioner
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Hearing Aid Equipment
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Physician Assistant
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783

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 Nicole Wolf's NPI number?

The NPI number for Nicole Wolf is 1104365014. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Where is Nicole Wolf located?

Nicole Wolf practices at 500 Osborn Blvd, Sault Sainte Marie, MI 49783. The listed phone number is (906) 635-4460.

What is Nicole Wolf's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Wolf enrolled in Medicare?

Yes. Nicole Wolf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Wolf accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Nicole Wolf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Wolf affiliated with any hospitals?

According to CMS data, Nicole Wolf is affiliated with Mclaren Northern Michigan, Munson Healthcare Otsego Memorial Hospital and Charlevoix Area Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Wolf was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.