Active NPI
Laura L Wells, NP
- Family Nurse Practitioner
- Cheyenne, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8847
- Practice address
- 4136 Laramie St
Cheyenne, WY 82001-2086 - Phone
- (307) 212-6270
- Fax
- (307) 212-6271
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.0005165-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 8847 | WI | Primary |
| Family Nurse Practitioner | 363LF0000X | 201403551NP-PP | OR |
Addresses
Primary practice location
4136 Laramie St
Cheyenne, WY 82001-2086
Mailing address
4136 Laramie St
Cheyenne, WY 82001-2086
Phone (307) 212-6270
Other practice location 1
3345 39th St S
Fargo, ND 58104-7539
Phone (877) 522-1275
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128906 | Other | CO | REGISTERED NURSE |
| 1164634697 | Medicaid | WI |
Other names 1
- Ms. Laura L Jolly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, WI, NM, WA, MT, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150930000038 | NV | Practitioner - Nurse Practitioner | 1557598794 | Reassigns benefits to 1 organization |
| I20190814002310 | WI | Practitioner - Nurse Practitioner | 1557598794 | Reassigns benefits to 1 organization |
| I20200731001234 | NM | Practitioner - Nurse Practitioner | 1557598794 | Reassigns benefits to 2 organizations |
| I20221020000217 | WA | Practitioner - Nurse Practitioner | 1557598794 | Reassigns benefits to 1 organization |
| I20230607002539 | MT | Practitioner - Nurse Practitioner | 1557598794 | Reassigns benefits to 1 organization |
| I20240213004143 | WY | Practitioner - Nurse Practitioner | 1557598794 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pain Care Centers - Mt LLCPain Care Center LLC
Practice addresses (Care Compare)
3490 Gabel Rd
Suite 100
Billings, MT 59102-7389
Phone (406) 601-8001
4136 Laramie St
Suite a
Cheyenne, WY 82001-1969
Phone (307) 212-6270
Hospital & facility affiliations
- Cheyenne Regional Medical Center
- Platte County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8847 | WI | MD | Professional Counselor |
| 201403551NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Care Center, LLC | Current | Accepting new patients | |
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Pain Care Centers - Mt, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, Inc | Current | Accepting new patients | |
| Pain Care Center, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Medtriq LLC | Current | Accepting new patients | |
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Optumcare Endoscopy Center New Mexico, LLC | Past | Accepting new patients |
Locations
9000 Crow Canyon Rd
Ste S360
Danville, CA 94506
Phone (650) 438-8983
3490 Gabel Rd
Ste 100
Billings, MT 59102
Phone (406) 601-8001
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330
4475 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 669-5811
2603 Bridgeport Way W
Ste F
University Place, WA 98466
Phone (253) 564-4073
1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563
5850 E 2nd St
Ste 100
Casper, WY 82609
Phone (307) 472-0207
4136 Laramie St
Unit A
Cheyenne, WY 82001
Phone (307) 633-8100
4136 Laramie St
Cheyenne, WY 82001
170 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 448-2753
2620 Commercial Way
Ste 20
Rock Springs, WY 82901
Phone 3072126270114
Organizations & group practices 11
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.
-
- Pain Medicine Physician
- Sheridan, WY
- NPI 1548020746
-
- Rural Health Clinic/Center
- Ashland, WI
- NPI 1770255937
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Ambulatory Surgical Clinic/Center
- Albuquerque, NM
- NPI 1962685834
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cheyenne, WY
- NPI 1285621839
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1164634697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4136 LARAMIE ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820012086",
"telephone_number": "307-212-6270",
"fax_number": "307-212-6271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4136 LARAMIE ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820012086",
"telephone_number": "307-212-6270",
"fax_number": "307-212-6271"
}
],
"practiceLocations": [
{
"address_1": "3345 39th St S",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581047539",
"country_code": "US",
"telephone_number": "877-522-1275",
"fax_number": "833-888-7145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLS",
"first_name": "LAURA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0005165-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "8847",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201403551NP-PP",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "128906",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164634697",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "JOLLY",
"middle_name": "L",
"prefix": "MS.",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.