Wesleyan Medical Complex, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WESLEYAN MEDICAL COMPLEX, LLC

Practice address

3221 Frederica St Ste a&B
Owensboro, KY 42301-6086

Phone

(270) 215-7755

Fax

(270) 215-7757

NPI assigned

Feb 20, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Sara Lynn Doolin Thompson, DNP, APRN-BC, CNORNPI 1992281323

Title

Owner/ Health Care Provider

Phone

(270) 215-7755

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26638/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Lynn Doolin-Thompson, DNP, APRN-BC, CNOR

  • Family Nurse Practitioner
  • Owensboro, KY
  • NPI 1992281323
  Medicare reassignment NPD Authorized official
• Jessica Brianne Millay, FNP-BC

  • Family Nurse Practitioner
  • Beaver Dam, KY
  • NPI 1457982969
  Medicare reassignment NPD

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

{
    "created_epoch": "1645315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1033864822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 FREDERICA ST STE A&B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016086",
            "telephone_number": "270-215-7755",
            "fax_number": "270-215-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 FREDERICA ST STE A&B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016086",
            "telephone_number": "270-215-7755",
            "fax_number": "270-215-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEYAN MEDICAL COMPLEX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-20",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "DOOLIN THOMPSON",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/ HEALTH CARE PROVIDER",
        "authorized_official_telephone_number": "270-215-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN-BC, CNOR"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8040229778",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita J Wells, ABOC, NCLEC
• Kaitlyn Wells
• Wendell Foster'S Campus for Developmental Disabilities
• Rachel Wendholt, DPT
• Wendi Brandon Aprn Pmhnp-BC LLC
• Wesleyan Medical Practice Corporation
• Wesleyan Urgent Care, PLLC
• West Kentucky Dermatology, PSC
• Courtney West, CCC-SLP
• Kaitlyn Wathen West, DO

• Family Nurse Practitioner in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.