DR. RYAN EDWARD WOLF MD
NPI 1821611344
Student in an Organized Health Care Education/Training Program in Jackson, MS
About Dr. Ryan Edward Wolf Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RYAN EDWARD WOLF MD (NPI 1821611344) is an individual student in an organized health care education/training program in Jackson, Mississippi, licensed in Mississippi (T-5604) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.
NPPES Registry Identity
Specialties & Licenses
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ryan Edward Wolf Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
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 Ryan Wolf's NPI number?
The NPI number for Ryan Wolf is 1821611344. It was assigned to this individual provider in the NPPES registry on May 19, 2020.
Where is Ryan Wolf located?
Ryan Wolf practices at 764 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 984-5023.
What is Ryan Wolf's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ryan Wolf enrolled in Medicare?
Yes. Ryan Wolf is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ryan Wolf was last updated on July 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
