Kimberly P Wells, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD20035 Issued in ME

Practice address

1 Prestera Way
Huntington, WV 25705-2069

Phone

(304) 525-7851

NPI assigned

Jun 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Rita Papa Former name

Medicare fee-for-service enrollment

Enrolled in ME, WV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Prestera Center for Mental Health Services Inc

  • Community/Behavioral Health Agency
  • Barboursville, WV
  • NPI 1356336903
  Medicare reassignment NPD
• Community Clinical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lewiston, ME
  • NPI 1164477568
  Medicare reassignment NPD
• St. Mary'S Regional Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1447226584
  Medicare reassignment NPD
• Prestera Center for Mental Health Services Inc

  • Primary Care Clinic/Center
  • Huntington, WV
  • NPI 1992394860
  NPD
• Community Clinical Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewiston, ME
  • NPI 1629851761
  NPD
• St. Mary'S Regional Medical Center

  • Skilled Nursing Facility
  • Lewiston, ME
  • NPI 1952306524
  NPD

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1063648111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CRACKER BARREL DR STE 100",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041650",
            "telephone_number": "304-525-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRESTERA WAY",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052069",
            "telephone_number": "304-525-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KIMBERLY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "ME",
            "license": "MD20035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PAPA",
            "middle_name": "RITA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer M Wellman, ARNP
• Jessica Wellman, MD
• Meredith Stone Wellman
• Torie Madison Wellman, CPHT
• Victoria Wellman
• Mallory Wells
• Taylor Marie Wells, MA, LPC
• Ryeleigh Wenck
• Kahli Wendell
• Jada Wentz

• Child & Adolescent Psychiatry Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Child & Adolescent Psychiatry Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.