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

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.

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
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

Other Names 1

Other Name (5)Lara Lynn Wolfe

Other Identifiers 2

Medicaid974851AZ
Medicare PINZ174316AZ

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

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.

Nurse Practitioner (Psychiatric/Mental Health)
3864 N 27TH AVE
PHOENIX, AZ 85017
Psychiatry & Neurology (Psychiatry)
3864 N 27TH AVE
PHOENIX, AZ 85017
Counselor (Mental Health)
3864 N 27TH AVE
PHOENIX, AZ 85017
Counselor (Addiction (Substance Use Disorder))
3864 N 27TH AVE
PHOENIX, AZ 85017
Counselor (Mental Health)
3864 N 27TH AVE
PHOENIX, AZ 85017
Counselor
3864 N 27TH AVE
PHOENIX, AZ 85017
Counselor (Professional)
3864 N 27TH AVE
PHOENIX, AZ 85017
Counselor (Professional)
3864 N 27TH AVE
PHOENIX, AZ 85017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538564109, enumerated as an "individual" on October 24, 2014.

The provider is located at 3864 N 27TH AVE PHOENIX, AZ 85017 and the phone number is (602) 685-6000.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Medicare and. Please consult your insurance carrier or call the provider to verify.