Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Wolf

Individual provider Physician Assistant · NPI 1104365014

Nicole Wolf is a Physician Assistant in Sault Sainte Marie, Michigan. Qualified in 2016, 10 years ago. Practices with Petoskey Family Medicine, PC, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2017

Practice location Address checks out

500 Osborn Blvd
Sault Sainte Marie, MI 49783-1822
Phone: (906) 635-4460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104365014
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2017
Last updated in NPPESApril 24, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Petoskey Family Medicine, P.C. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Sault Sainte Marie