Individual provider Active NPI

Yasmin Starr Wells, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1043049521
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9119225 Issued in FL
Practice address
630 N Bumby Ave
Orlando, FL 32803-4923
Phone
(407) 274-7217
NPI assigned
Jul 31, 2024
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9119225 FL Primary

Addresses

Primary practice location

630 N Bumby Ave
Orlando, FL 32803-4923

Mailing address

1918 Garvin St
Orlando, FL 32803-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241022001784 FL Practitioner - Physician Assistant 7517499049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3030 E Semoran Blvd
Suite 264
Apopka, FL 32703-5953
Phone (321) 280-3810

4425 W 1St St
Sanford, FL 32771-9082
Phone (407) 915-0164

4451 W 1St St
Sanford, FL 32771-9082
Phone (407) 200-2300

4660 13TH St
Saint Cloud, FL 34769-6765
Phone (407) 200-2300

885 N Alafaya TRL
Unit G04
Orlando, FL 32828-7049
Phone (407) 965-5109

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9119225FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc Physician Assistant CurrentSince Feb 26, 2025 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Sep 23, 2024 Accepting new patients
Adventist Health System /Sunbelt, Inc. Physician Assistant CurrentSince Sep 23, 2024 Accepting new patients
Hunt Club Medical PLC PastSince Aug 1, 2024 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

630 N Bumby Ave
Orlando, FL 32803
Phone (239) 245-1698

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCBBAA
  • Direct secure messaging: ywells3860099@adventhealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1043049521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 GARVIN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N BUMBY AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034923",
            "telephone_number": "407-274-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "YASMIN",
        "middle_name": "STARR",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9119225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.