MS. SANDRA MARIA WOLF (PA) – Physician Assistant, NPI 1104086487
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. SANDRA MARIA WOLF (PA)
North Alma School Road, Sunridge Townhomes, Chandler, Maricopa County, Arizona, 85202-7321, United States
STE 160
CHANDLER, AZ 852245901
Phone: (480) 963-1853
Fax: (480) 963-1854
Type: Mailing
16387 W CANTERBURY DR
SURPRISE, AZ 853886026
Phone: (623) 251-5052
Type: Mailing
3501 W OSBORN RD
PHOENIX, AZ 850194037
Phone: (602) 272-7676
Fax: (602) 272-1883
Type: Location
Merrick Avenue, Merrick County, Nebraska, United States
SUITE 230
MERRICK, NY 115663477
Phone: (516) 377-2820
Fax: (516) 378-2968
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-06-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120120000837 | I | Physician Assistant | NY | TBD |
| I20180629001316 | I | Physician Assistant | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85224)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| Internal Medicine | AZ | |
| Nurse Practitioner | AZ | |
| Family Practice | AZ | |
| Family Practice | NY | |
| Physician Assistant | AZ | |
| Family Practice | AZ | |
| Physician Assistant | AZ |
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