Individual provider Active NPI

Courtenay A Wells, RN, FWP

  • Family Nurse Practitioner
  • Lafayette, IN
National Provider Identifier
1093824815
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN # 71002195 Issued in IN
Practice address
3806 Amelia Ave Ste 2
Lafayette, IN 47905-5772
Phone
(765) 449-3900
Fax
(765) 449-3901
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN # 71002195 IN Primary

Addresses

Primary practice location

3806 Amelia Ave Ste 2
Lafayette, IN 47905-5772

Mailing address

PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732

Other practice location 1

203 N Division St
Flora, IN 46929-1024
Phone (765) 449-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20121004000592 IN Practitioner - Nurse Practitioner 9830348911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Healthcare LLCGroup PAC ID 0244123362, 62 clinicians

Practice addresses (Care Compare)

1250 S Creasy LN
Suite a
Lafayette, IN 47905-4960
Phone (765) 446-5417

166 Sagamore Pkwy W
Garan Chadha MD
West Lafayette, IN 47906-1569
Phone (765) 449-2458

203 N Division St
Flora Family Medicine
Flora, IN 46929-1024
Phone (574) 967-4523

3806 Amelia Ave
Suite 2
Lafayette, IN 47905-5772
Phone (765) 449-3900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN # 71002195INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Healthcare, LLC Current Accepting new patients
Valley Oaks Health Inc CurrentSince Oct 24, 2022 Accepting new patients
Unity Healthcare, LLC CurrentSince Oct 28, 2024 Accepting new patients
Valley Oaks Health Inc CurrentSince Oct 24, 2022 Accepting new patients
Unity Healthcare,LLC Past Accepting new patients
Trustees of Purdue University Past Accepting new patients
Unity Healthcare LLC Past Accepting new patients

Locations

203 N Division St
Flora, IN 46929
Phone (219) 967-4523

415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400

3806 Amelia Ave
Ste 2
Lafayette, IN 47905
Phone (765) 449-3900

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

Interoperability endpoints

  • Direct secure messaging: courtenaywells@idx.allscriptsdirect.net

Organizations & group practices 7

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.

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1093824815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4699",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479034699",
            "telephone_number": "765-449-2732",
            "fax_number": "765-449-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 AMELIA AVE STE 2",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055772",
            "telephone_number": "765-449-3900",
            "fax_number": "765-449-3901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 N Division St",
            "address_purpose": "LOCATION",
            "city": "Flora",
            "state": "IN",
            "postal_code": "469291024",
            "country_code": "US",
            "telephone_number": "765-449-3900",
            "fax_number": "765-449-3901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "COURTENAY",
        "middle_name": "A",
        "credential": "RN, FWP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "APN # 71002195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.