IRYNA WOLBERG (DNP) – Nurse Practitioner, NPI 1609282565

IRYNA WOLBERG (DNP) is a healthcare provider. based in Waterford, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. 4704270392 (MI). The NPI Number for IRYNA WOLBERG (DNP) is 1609282565

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
IRYNA WOLBERG (DNP)
NPI
1609282565
Phone
(248) 742-1638
Address
4206 PONTIAC LAKE RD
Enumeration Date
10 July 2014
Last Update Date
6 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6465988338
Graduation Year
2013 (13 years ago)
PAC ID
5193048684
Group Practice PAC ID
0446605422
Professional Enrollment ID
I20150109000243
Address ID
MI483233342WE4710XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for IRYNA WOLBERG (DNP)

  • 4206 PONTIAC LAKE RD

    WATERFORD, MI 483281261

    Phone: (248) 742-1638

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $4,090.

Total Amount is formed as General ($4,090) + Research ($0) + Ownership ($0) = $4,090.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($369).

Total Amount

$4,090

General + Research + Ownership

Payments

39

Total payment records

General Amount

$4,090

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150109000243INurse PractitionerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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 48328)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446605422View full group profile
NameSpecialtyState
Clinical PsychologistCT
Physical Therapist In Private PracticeMI
Clinical Social WorkerMI
Physical Therapist In Private PracticeMI
Clinical PsychologistNJ
Physical Medicine And RehabilitationOH
Clinical Social WorkerNY
Clinical PsychologistFL
Nurse PractitionerMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Can I cross-check IRYNA WOLBERG (DNP) using NPI 1609282565?
NPI 1609282565 belongs to IRYNA WOLBERG (DNP); compare other details if you need extra assurance.
Active or inactive — what applies to IRYNA WOLBERG (DNP)?
You should see IRYNA WOLBERG (DNP) as active in CMS-hosted NPPES data.
What clinical focus is listed for IRYNA WOLBERG (DNP)?
At a glance, IRYNA WOLBERG (DNP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Michigan is IRYNA WOLBERG (DNP) registered?
Use Waterford, Michigan as the headline location for IRYNA WOLBERG (DNP) here.
Does IRYNA WOLBERG (DNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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