JENNIFER L WOLF RDN
NPI 1962152629
Dietitian, Registered in Wilmington, NC

Active since March 25, 2022
3240 BURNT MILL DR STE 1, WILMINGTON, NC 28403(910) 790-9500 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer L Wolf Rdn NPPES

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

JENNIFER L WOLF RDN (NPI 1962152629) is an individual dietitian, registered in Wilmington, North Carolina, licensed in North Carolina (86114425) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1962152629
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJENNIFER L WOLFCredential: RDN
Location Address3240 BURNT MILL DR STE 1Wilmington, NC 28403-2570
Mailing Address3025 Jean Rabin Way Apt 306Wilmington, NC 28403-5068 · (734) 604-4464
Sole ProprietorNo
Enumeration DateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1962152629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NC · 86114425
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
3240 BURNT MILL DR STE 1, Wilmington, NC 28403

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer L Wolf Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Wolf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
3240 BURNT MILL DR STE 1
Wilmington, NC 28403
  • Reassigned Medicare billing, North Carolina enrollment
  • 7 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.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
3240 BURNT MILL DR STE 1
WILMINGTON, NC 28403
Social Worker (Clinical)
3240 BURNT MILL DR STE 1
WILMINGTON, NC 28403
Dietitian, Registered
3240 BURNT MILL DR STE 1
WILMINGTON, NC 28403
Social Worker (Clinical)
3240 BURNT MILL DR STE 1
WILMINGTON, NC 28403
Counselor (Mental Health)
3240 BURNT MILL DR STE 1
WILMINGTON, NC 28403
Counselor (Mental Health)
3240 BURNT MILL DR STE 1
WILMINGTON, NC 28403
Counselor (Mental Health)
3240 BURNT MILL DR STE 1
WILMINGTON, NC 28403
Nurse Practitioner (Psychiatric/Mental Health)
3240 BURNT MILL DR STE 1
WILMINGTON, NC 28403

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 Jennifer Wolf's NPI number?

The NPI number for Jennifer Wolf is 1962152629. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Jennifer Wolf located?

Jennifer Wolf practices at 3240 Burnt Mill Dr Ste 1, Wilmington, NC 28403. The listed phone number is (910) 790-9500.

What is Jennifer Wolf's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jennifer Wolf enrolled in Medicare?

Yes. Jennifer Wolf is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Wolf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Wolf reassigns Medicare benefits to Chrysalis Center For Counseling And Eating Disorder Treatment PLLC (Wilmington, NC). 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 Jennifer Wolf'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 Jennifer Wolf was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.