ALISE WOLFGANG CRNP-BC
NPI 1386802098
Nurse Practitioner - Acute Care in Philadelphia, PA
About Alise Wolfgang Crnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALISE WOLFGANG CRNP-BC (NPI 1386802098) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP009379) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alise Wolfgang Crnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alise Wolfgang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Upper Chichester, PA 19061
- Reassigned Medicare billing, Pennsylvania enrollment
- 8 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19107 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
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 Alise Wolfgang's NPI number?
The NPI number for Alise Wolfgang is 1386802098. It was assigned to this individual provider in the NPPES registry on May 29, 2008.
Where is Alise Wolfgang located?
Alise Wolfgang practices at 1100 Walnut St 5th Floor Mob, Philadelphia, PA 19107. The listed phone number is (215) 503-7326.
What is Alise Wolfgang's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Alise Wolfgang enrolled in Medicare?
Yes. Alise Wolfgang is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alise Wolfgang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alise Wolfgang reassigns Medicare benefits to (Upper Chichester, PA). 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 Alise Wolfgang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alise Wolfgang was last updated on December 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Alise Wolfgang, CRNP-BC · NPI 1386802098
Acute Care physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 29, 2008.
## Identity
- **NPI:** 1386802098 (Entity type: Individual)
- **Enumerated:** May 29, 2008
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** SP009379 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 WALNUT ST, 5TH FLOOR MOB, Philadelphia, PA 19107-5563
- **Phone:** (215) 503-7326 · **Fax:** (215) 503-7577
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** (NPI 1699714402, Upper Chichester, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 31, 2013
- **Other identifiers:** Medicare PIN 128818 (PA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1386802098) · Data from the CMS NPPES public registry.