SHEILA WOLFRUM
NPI 1194355982
Nurse Practitioner in Fort Wayne, IN

Active since January 21, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1720 BEACON ST, FORT WAYNE, IN 46805(260) 373-8000(260) 373-8034 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2023, Oct 31, 2022, Jan 21, 2020 (3 updates tracked since 2020).

About Sheila Wolfrum NPPES

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

SHEILA WOLFRUM (NPI 1194355982) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71013160A) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Adams Memorial Hospital, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1194355982
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHEILA WOLFRUM
Location Address1720 BEACON STFort Wayne, IN 46805-4749
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 373-8034
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 21, 2020
Last NPPES UpdateMarch 24, 20233 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
NPI 1194355982 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
License Licensed in IN · 71013160A
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 325894 (OH)
1720 BEACON ST, Fort Wayne, IN 46805

Secondary Practice Location 1

Location 1909 E State BlvdFort Wayne, IN 46805-3404 · Phone (260) 481-2700 · Fax (260) 481-2838

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

Sheila Wolfrum 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 ID345618955
PECOS Enrollment IDI20221201000754
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 3

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 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.
83 services45 patients
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.
62 services36 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Adams Memorial Hospital

Critical Access Hospitals · Decatur, IN
OwnershipGovernment - Local
CMS Certification Number151330
Location1100 Mercer AveDecatur, IN 46733 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.07
Promoting Interoperability100
Improvement Activities40
Cost91.08

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.

Psychiatry & Neurology (Geriatric Psychiatry)
1720 BEACON ST
FORT WAYNE, IN 46805
Internal Medicine (Addiction Medicine)
1720 BEACON ST
FORT WAYNE, IN 46805
Social Worker (Clinical)
1720 BEACON ST
FORT WAYNE, IN 46805
Counselor (Mental Health)
1720 BEACON ST
FORT WAYNE, IN 46805
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1720 BEACON ST
FORT WAYNE, IN 46805
Registered Nurse (Psychiatric/Mental Health)
1720 BEACON ST
FORT WAYNE, IN 46805
Psychiatry & Neurology (Forensic Psychiatry)
1720 BEACON ST
FORT WAYNE, IN 46805
Psychologist
1720 BEACON ST
FORT WAYNE, IN 46805

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 Sheila Wolfrum's NPI number?

The NPI number for Sheila Wolfrum is 1194355982. It was assigned to this individual provider in the NPPES registry on January 21, 2020.

Where is Sheila Wolfrum located?

Sheila Wolfrum practices at 1720 Beacon St, Fort Wayne, IN 46805. The listed phone number is (260) 373-8000.

What is Sheila Wolfrum's specialty?

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

Is Sheila Wolfrum enrolled in Medicare?

Yes. Sheila Wolfrum 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 Sheila Wolfrum accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Sheila Wolfrum 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 Sheila Wolfrum affiliated with any hospitals?

According to CMS data, Sheila Wolfrum is affiliated with Adams Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sheila Wolfrum was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.