Active NPI 1811319437 Individual Practitioner Male Practitioner

Randy Wolfe , RNP

Nurse Practitioner • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Randy Wolfe, RNP is a certified Nurse Practitioner practicing in Providence, RI. With approximately 13 years of clinical experience since completing medical education in 2013, Randy Wolfe delivers high-quality medical care to the local community at 593 EDDY ST.

Randy Wolfe is affiliated with Northeast Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St
Apc4

Providence, RI 029034923

Telephone 4012721800

Fax 4014357069

Associated Practice Facility / Clinic

🏢 Rhode Island Hospital Facility NPI 1588659528

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Providence, RI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +2.6 yrs vs City Avg

City Avg: 10.4 Yrs

State Avg: 13.5 Yrs

Regional Practice Density

176 Specialists

Practicing in Providence, RI (397 Statewide)

Telehealth Adoption Rate

15.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wolfe (13 Years) 13 Yrs

Providence Specialty Average (10.4 Years) 10.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	73	$182.00	$57.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	41	$184.00	$69.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	57	$119.48	$30.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	39	$333.00	$114.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	43	$117.00	$50.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	44	$268.00	$85.74
99213 Established patient office or other outpatient visit, typically 15 minutes	39	35	$182.00	$80.38
51798 Ultrasound measurement of bladder capacity after voiding	34	29	$76.00	$11.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$268.00	$114.13
81002 Urinalysis, manual test	12	12	$7.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	180	148	$182.00	$78.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	68	$110.00	$49.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	41	$184.00	$67.90
51798 Ultrasound measurement of bladder capacity after voiding	53	42	$76.00	$11.12
81002 Urinalysis, manual test	43	41	$7.00	$3.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	25	$333.00	$111.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$272.00	$97.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$268.00	$110.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	204	149	$182.00	$79.55
51798 Ultrasound measurement of bladder capacity after voiding	78	54	$76.00	$11.11
81002 Urinalysis, manual test	72	55	$7.00	$3.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	35	$184.00	$61.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	32	$110.00	$49.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	23	$101.00	$33.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$272.00	$98.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$268.00	$112.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$333.00	$117.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$415.00	$147.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	253	223	$178.28	$80.93
81003 Automated urinalysis test	232	195	$5.93	$2.23
51798 Ultrasound measurement of bladder capacity after voiding	170	145	$27.20	$10.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	59	$255.86	$115.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	55	$111.97	$50.33
51703 Complicated insertion of bladder tube	29	11	$305.00	$135.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$221.38	$100.26
99442 Telephone medical discussion with physician, 11-20 minutes	28	28	$175.43	$81.79
51741 Electronic assessment of bladder emptying	28	28	$17.00	$12.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$363.40	$149.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	12	$176.92	$63.15
81002 Urinalysis, manual test	12	11	$7.00	$3.48
51700 Simple bladder irrigation and/or instillation	11	11	$174.00	$71.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	368	288	$156.84	$65.64
81003 Automated urinalysis test	252	217	$4.00	$2.20
51798 Ultrasound measurement of bladder capacity after voiding	147	131	$27.00	$10.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	46	$229.00	$97.12
99442 Telephone medical discussion with physician, 11-20 minutes	44	42	$116.00	$66.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$227.17	$95.84
51703 Complicated insertion of bladder tube	24	14	$283.00	$126.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	49	49	$4.00	$2.34
99213 Established patient office or other outpatient visit, typically 15 minutes	39	37	$156.00	$64.74
51798 Ultrasound measurement of bladder capacity after voiding	31	31	$27.00	$13.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$228.00	$91.48

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License RI NPP37855

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Northeast Medical Group Inc

176 Toll Gate Rd, Warwick, RI 028864481

Phone: 4015960964

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners

Dr. Eric Benoit , MD

Surgery - Surgical Critical Care

NPI 1073752366

Doctor of Medicine (M.D.)

Dawn Drake , RNP

Nurse Practitioner

NPI 1083905673

Dr. Doreen Wiggins , MD

Obstetrics & Gynecology

NPI 1093734204

Doctor of Medicine (M.D.)

Dr. Shea Gregg , MD

Surgery

NPI 1255535670

Doctor of Medicine (M.D.)

Angela Togba , NP

Nurse Practitioner

NPI 1285147488

Nurse Practitioner

Gerald Dornhecker , RNP

Nurse Practitioner - Family

NPI 1306994538

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 03, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2014

Registered at 593 EDDY ST, APC4, PROVIDENCE, RI 029034923 (Tel: 4012721800)

📍

Updated Business Mailing Address April 03, 2014

Registered at PO BOX 16149, RUMFORD, RI 029160697 (Tel: 4014539625)

👤

Provider Name / Credentials Updated April 03, 2014

Recorded as RANDY WOLFE, RNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2014

Nurse Practitioner (License #NPP37855 in RI)

🟢

Initial NPI Registration & Enumeration January 16, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811319437

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 16, 2014

Last Update: April 03, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 16149

Rumford, RI 029160697

Phone: 4014539625

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.