Shannon Denise Wells, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0034634 Issued in OH

Practice address

1868 Dayton Germantown Pike
Germantown, OH 45327-1100

Phone

(937) 895-0081

Fax

(937) 895-0066

NPI assigned

Aug 17, 2023

Last updated

Nov 7, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complexcare Medical Group Midwest M PLLCGroup PAC ID 1355858630, 87 clinicians

Wellness Urgent Care LLCGroup PAC ID 8325410913, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.wells.1@28492.direct.athenahealth.com

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.

• Wellness Urgent Care LLC

  • Urgent Care Clinic/Center
  • Carlisle, OH
  • NPI 1609588326
  Medicare reassignment Care Compare group NPD
• Complexcare Medical Group Midwest M PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1528851607

  OH

  Medicare reassignment Care Compare group NPD
• CG Medical Associates Inc

  • Urgent Care Clinic/Center
  • Cincinnati, OH
  • NPI 1982903951
  Medicare reassignment NPD
• Great Health Medical Oh Inc

  • Family Medicine Physician
  • Wooster, OH
  • NPI 1104630912
  Medicare reassignment NPD
• Men's Health Express LLC

  • Health Service Clinic/Center
  • Germantown, OH
  • NPI 1093691727
  NPD Authorized official
• Sowing Seeds Primary Care LLC

  • Family Nurse Practitioner
  • Germantown, OH
  • NPI 1992564058
  NPD Authorized official
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375
  NPD

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1144003666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 DAYTON GERMANTOWN PIKE",
            "city": "GERMANTOWN",
            "state": "OH",
            "postal_code": "453271100",
            "telephone_number": "937-895-0081",
            "fax_number": "937-895-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 DAYTON GERMANTOWN PIKE",
            "city": "GERMANTOWN",
            "state": "OH",
            "postal_code": "453271100",
            "telephone_number": "937-895-0081",
            "fax_number": "937-895-0066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "OH",
            "postal_code": "450053120",
            "country_code": "US",
            "telephone_number": "937-790-1053",
            "fax_number": "937-790-1054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "SHANNON",
        "middle_name": "DENISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0034634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Contact, Inc.
• Jonathan Douglas Tschanz, O.D.
• Valley View Local
• Melissa Waker
• Noel J Watson, M.D.
• Tabitha Nicole Whitaker, LPN
• Allison Whitley
• Michelle Nicole Williams, COTA
• Laura Christine Windholtz, M.A. CCC/SLP
• Brittni Young

• Family Nurse Practitioner in Germantown, OH
• Providers in Germantown, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.