Stacey Nicole Wolf, CRNA
Nurse Anesthetist, Certified Registered in Glen Burnie, MD. Individual provider (NPI-1).
NPI number1558096826
StatusActive
Last updated in NPPESJan 4, 2023
Details
- NPI
- 1558096826
- Entity type
- Individual (NPI-1)
- Name
- Stacey Nicole Wolf
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2022
- Certification date
- Jan 4, 2023
- Last updated
- Jan 4, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R207853 | MD | Yes |
| 163W00000X | Registered Nurse | R207853 | MD |
Practice location
301 Hospital DrGlen Burnie, MD 21061-5803
Phone 410-787-4000
Mailing address
851 Trafalgar Ct Ste 200eMaitland, FL 32751-7420
Phone 407-667-0444
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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