EMILY KATHERINE WOLFRUM – Family Nurse Practitioner, NPI 1871083683

EMILY KATHERINE WOLFRUM is a healthcare provider. based in Clinton township, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704289427 (MI). The NPI Number for EMILY KATHERINE WOLFRUM is 1871083683

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
EMILY KATHERINE WOLFRUM
NPI
1871083683
Phone
(407) 485-9541
Address
24116 MEADOWBRIDGE DR
Enumeration Date
16 May 2018
Last Update Date
19 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5864801685
Graduation Year
2018 (8 years ago)
PAC ID
5597010207
Group Practice PAC ID
6305188491
Professional Enrollment ID
I20180621000787
Address ID
MI480884329WA28550RDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for EMILY KATHERINE WOLFRUM

  • Meadowbridge Drive, Clinton Township, Macomb County, Michigan, 48035, United States

    CLINTON TOWNSHIP, MI 480353008

    Phone: (407) 485-9541

    Type: Mailing

  • 23 Mile Road, Chesterfield Township, Macomb County, Michigan, 48047, United States

    MACOMB, MI 480441161

    Phone: (586) 868-9200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$16
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: 2018-06-21

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
I20180621000787INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9590$0
99213Established patient office or other outpatient visit, 20-29 minutes7270$0
99204New patient office or other outpatient visit, 45-59 minutes6262$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus5655$0
99203New patient office or other outpatient visit, 30-44 minutes5252$0
View full utilization report →

Insurance plans in this area (ZIP 48035)

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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: 6305188491View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerTN
-MI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerCA
Physician AssistantMI
Physician AssistantMI
Nurse PractitionerMI
-MI

Reviews

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Frequently asked questions

Can I verify EMILY KATHERINE WOLFRUM with an NPI only?
You can start verification with NPI 1871083683 for EMILY KATHERINE WOLFRUM, then check state licensing separately.
Does CMS list EMILY KATHERINE WOLFRUM as active?
Yes — EMILY KATHERINE WOLFRUM is active in the NPI listing used on this page.
What is EMILY KATHERINE WOLFRUM's primary classification?
Family Nurse Practitioner is the headline specialty for EMILY KATHERINE WOLFRUM here. Clinical services aligned with this taxonomy classification.
What area does EMILY KATHERINE WOLFRUM serve?
EMILY KATHERINE WOLFRUM's listing highlights Clinton Township, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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