MS. LARA LYNN WOLFE SEPULVEDA N.P.
NPI 1538564109
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Q: What is Lara Wolfe Sepulveda's NPI number?

The NPI number for Lara Wolfe Sepulveda is 1538564109. It was assigned to this individual provider in the NPPES registry on October 24, 2014.

Q: What is Lara Wolfe Sepulveda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 24, 2014PECOS EnrolledAccepts Medicare Assignment

3864 N 27TH AVE, PHOENIX, AZ 85017(602) 685-6000(602) 995-8503 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Lara Lynn Wolfe Sepulveda N.p. NPPES

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

MS. LARA LYNN WOLFE SEPULVEDA N.P. (NPI 1538564109) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (AP7265) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2013).

NPPES Registry Identity

NPI1538564109

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. LARA LYNN WOLFE SEPULVEDACredential: N.P.

Location Address3864 N 27TH AVEPhoenix, AZ 85017-4703

Mailing Address3003 N Central Ave Ste 200Phoenix, AZ 85012-2914 · (602) 685-6000 · Fax (602) 302-7925

Phone(602) 685-6000

Fax(602) 995-8503

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2013

Enumeration DateOctober 24, 2014

Last NPPES UpdateDecember 7, 2016

✔ NPI 1538564109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · AP7265

3864 N 27TH AVE, Phoenix, AZ 85017

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Other Names 1

Other Name (5)Lara Lynn Wolfe

Other Identifiers 2

Medicaid974851AZ

Medicare PINZ174316AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Ms. Lara Lynn Wolfe Sepulveda N.p. 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 ID1052638731

PECOS Enrollment IDI20150317001270

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85017 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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.

MS. LINDA L REDWOOD-MARTINEZ NP

Nurse Practitioner (Psychiatric/Mental Health)