Individual provider Active NPI

Jacquia Wells

  • Family Nurse Practitioner
  • Gonzales, LA
National Provider Identifier
1104577014
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
239859 Issued in LA
Practice address
711 E Ascension St Unit 360
Gonzales, LA 70737-3028
Phone
(225) 954-8732
NPI assigned
Jan 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 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 239859 LA Primary

Addresses

Primary practice location

711 E Ascension St Unit 360
Gonzales, LA 70737-3028

Mailing address

711 E Ascension St Unit 360
Gonzales, LA 70737-3028
Phone (225) 954-8732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20250918004242 LA Practitioner - Nurse Practitioner 4284138561 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Urgent Care LLCGroup PAC ID 5496908071, 132 clinicians

Practice addresses (Care Compare)

1668 Hwy 51
Ponchatoula, LA 70454-6375
Phone (985) 401-4022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Protouch Health & Wellness Current Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 22, 2025 Accepting new patients
Signify Health, LLC CurrentSince Feb 1, 2026 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 22, 2025 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

711 E Ascension St
Gonzales, LA 70737
Phone (225) 399-3154

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1104577014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E ASCENSION ST UNIT 360",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373028",
            "telephone_number": "225-954-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E ASCENSION ST UNIT 360",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373028",
            "telephone_number": "225-954-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JACQUIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "239859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.