Holly Wells, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

202010386NP Issued in OR

Practice address

1615 Delaware St
Longview, WA 98632-2367

Phone

(360) 414-2385

Fax

(360) 414-2386

NPI assigned

Nov 18, 2020

Last updated

Jul 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uptown Providers PCGroup PAC ID 4284891243, shared by 2 NPIs, 43 clinicians

Camas Foot and Ankle PLLCGroup PAC ID 3779748173, 3 clinicians

Battle Ground Foot and AnkleGroup PAC ID 6406858190, 3 clinicians

Vancouver Foot and Ankle, PLLCGroup PAC ID 9335321298, 3 clinicians

Portland Foot and Ankle, LLCGroup PAC ID 2466634944, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• WA PPO C-SNP
• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

• Direct secure messaging: hwells436372@direct.peacehealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Battle Ground Foot and Ankle

  • Podiatrist
  • Battle Ground, WA
  • NPI 1295760122
  Medicare reassignment Care Compare group NPD
• Camas Foot and Ankle PLLC

  dba Vancouver Foot and Ankle PLLC East

  • Podiatrist
  • Vancouver, WA
  • NPI 1437426145
  Medicare reassignment Care Compare group NPD
• Vancouver Foot and Ankle, PLLC

  • Podiatrist
  • Vancouver, WA
  • NPI 1710201967
  Medicare reassignment Care Compare group NPD
• Portland Foot and Ankle, LLC

  • Podiatrist
  • Portland, OR
  • NPI 1225349566
  Medicare reassignment Care Compare group NPD
• Uptown Providers PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Vancouver, WA
  • NPI 1255102034
  Medicare reassignment NPD
• Uptown Providers PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Tigard, OR
  • NPI 1346903531
  Medicare reassignment NPD
• Uptown Providers PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Vancouver, WA
  • NPI 1912702465
  NPD
• Uptown Providers PC

  • General Practice Physician
  • Portland, OR
  • NPI 1144598293
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1033712526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 S 19TH ST",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427169",
            "telephone_number": "928-710-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 DELAWARE ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322367",
            "telephone_number": "360-414-2385",
            "fax_number": "360-414-2386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4757 S 19th St",
            "address_purpose": "LOCATION",
            "city": "Ridgefield",
            "state": "WA",
            "postal_code": "986427169",
            "country_code": "US",
            "telephone_number": "928-710-2062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1718 E Kessler Blvd",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986321842",
            "country_code": "US",
            "telephone_number": "360-747-3846",
            "fax_number": "360-575-3846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "HOLLY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61115242",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202010386NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Welch
• Stacey Ann Welker
• Well Thought, PLLC
• Wellness by Design LLC (Wellness by Design)
• Ellie Renae Wells
• Christopher Wentz
• Craig Allan Werner, D.C.
• Angela Wesson, CNA
• Debra C Wesson, OTR
• Cheyenne West

• Family Nurse Practitioner in Longview, WA
• Providers in Longview, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.