Mary Woltjen, CNM CRNP RN
Mary Woltjen, CNM CRNP RN is a Nurse Practitioner in Phila, PA, registered under NPI 1932185576. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 7604 CENTRAL AVE SUITE 101, Phila, PA 19111. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| TP004106G | PA | Nurse Practitioner primary |
| RN279256L | PA | Registered Nurse |
| MW008564L | PA | Women's Health Clinical Nurse Specialist |
This provider holds licence TP004106G issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Nurse Practitioner
- PAC ID
- 7810085685
- Enrollment ID
- I20150116000633
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Nurse Practitioner covers
(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. NUCC Health Care Provider Taxonomy, code 363L00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | TP004106G | PA | primary |
| 163W00000X | Registered Nurse | RN279256L | PA | |
| 364SW0102X | Women's Health Clinical Nurse Specialist Women's Health | MW008564L | PA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1932185576 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Dec 15, 2005 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | CNM CRNP RN |
| Practice address |
7604 CENTRAL AVE SUITE 101 Phila, PA 19111 (215) 745-8989 Fax (215) 745-9072 |
| Mailing address |
623 UNRUH AVE 2ND FL Phila, PA 19111 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 3 | 2 | 1 | 8 | 5 | 5 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 6 | 2 | 2 | 8 | 1 | 5 | 5 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.