MRS. JACQUELINE M WOLK FNP
NPI 1144730615
Nurse Practitioner - Family in Bloomsdale, MO
About Mrs. Jacqueline M Wolk Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACQUELINE M WOLK FNP (NPI 1144730615) is an individual family provider in Bloomsdale, Missouri, licensed in Missouri (2017036067) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Jacqueline M Wolk Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Wolk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ste Genevieve, MO 63670
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1073587655 (Missouri)
- 37 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63627 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLOOMSDALE, MO 63627
BLOOMSDALE, MO 63627
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 Jacqueline Wolk's NPI number?
The NPI number for Jacqueline Wolk is 1144730615. It was assigned to this individual provider in the NPPES registry on October 10, 2017. The provider is also known as Jacqueline Marie Flavin.
Where is Jacqueline Wolk located?
Jacqueline Wolk practices at 255 Boderman, Bloomsdale, MO 63627. The listed phone number is (573) 483-2929.
What is Jacqueline Wolk's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Wolk enrolled in Medicare?
Yes. Jacqueline Wolk 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.
Which organization bills Medicare for Jacqueline Wolk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Wolk reassigns Medicare benefits to Ste Genevieve County Memorial Hospital (Ste Genevieve, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Wolk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Wolk accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Jacqueline Wolk 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.
When was this NPI record last updated?
The NPPES record for Jacqueline Wolk was last updated on October 10, 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.
# Mrs. Jacqueline M Wolk, FNP · NPI 1144730615
Family physician in Bloomsdale, Missouri. Individual provider, active in the CMS NPPES registry since October 10, 2017.
## Identity
- **NPI:** 1144730615 (Entity type: Individual)
- **Enumerated:** October 10, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2017036067 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 255 BODERMAN, Bloomsdale, MO 63627-9099
- **Phone:** (573) 483-2929 · **Fax:** (573) 483-9612
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ste Genevieve County Memorial Hospital (NPI 1154871143, Ste Genevieve, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 10, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1144730615) · Data from the CMS NPPES public registry.