MRS. TRACY SHARI WOLLENBERG APRN
NPI 1730595976
Nurse Practitioner in Fort Riley, KS

Q: What is Tracy Wollenberg's NPI number?

The NPI number for Tracy Wollenberg is 1730595976. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Q: What is Tracy Wollenberg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracy Wollenberg was last updated on March 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 09, 2014

650 HUEBNER RD, FORT RILEY, KS 66442(785) 240-7652 Get Directions Write a Review

NPPES record last updated: March 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2018, Nov 16, 2015, Sep 30, 2015 (3 updates tracked since 2015).

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About Mrs. Tracy Shari Wollenberg Aprn NPPES

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

MRS. TRACY SHARI WOLLENBERG APRN (NPI 1730595976) is an individual nurse practitioner in Fort Riley, Kansas, licensed in Kansas (53-76420) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1730595976

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. TRACY SHARI WOLLENBERGCredential: APRN

Location Address650 HUEBNER RDFort Riley, KS 66442-4030

Mailing Address650 Huebner RdFort Riley, KS 66442-4030 · (785) 240-7652

Phone(785) 240-7652

Sole ProprietorNo

Enumeration DateJuly 9, 2014

Last NPPES UpdateMarch 23, 20183 updates tracked since enumeration

✔ NPI 1730595976 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 KS · 53-76420

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 ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 53-76420 (KS)

650 HUEBNER RD, Fort Riley, KS 66442

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Other Identifiers 1

Medicaid201120250AKS

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.

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