Individual provider Active NPI

Brandy Wells, ARNP

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1104341171
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F07171574 Issued in KY
Practice address
11612 Top Walnut Loop
Louisville, KY 40229
Phone
(502) 767-9777
NPI assigned
Aug 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F07171574 KY Primary

Addresses

Primary practice location

11612 Top Walnut Loop
Louisville, KY 40229

Mailing address

11612 Top Walnut Loop
Louisville, KY 40229-3467
Phone (502) 767-9777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20190424001494 ME Practitioner - Nurse Practitioner 8426390303 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

10 High St
Suite 301
Lewiston, ME 04240-7656
Phone (207) 795-8385

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

Merit-based Incentive Payment System (MIPS)

Final score
84.57 of 100Reported as group
Quality
66.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07171574KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgton Hospital CurrentSince Mar 16, 2019 Accepting new patients
Portland Chiropractic Neurology, LLC CurrentSince Oct 1, 2025 Accepting new patients
Bridgton Hospital CurrentSince Mar 16, 2019 Accepting new patients
Central Maine Medical Center CurrentSince Mar 16, 2019 Accepting new patients
Central Maine Medical Center CurrentSince Mar 16, 2019 Accepting new patients
Think Tank Hyperbarics CurrentSince Oct 1, 2025 Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

10 High St
Ste 301
Lewiston, ME 04240
Phone (207) 782-5105

959 Congress St
#1
Portland, ME 04102
Phone (207) 699-5600

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

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 3

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": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1104341171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11612 TOP WALNUT LOOP",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402293467",
            "telephone_number": "502-767-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11612 TOP WALNUT LOOP",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40229",
            "telephone_number": "502-767-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "BRANDY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "F07171574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.