Individual provider Active NPI

Nanette Y. Wells, APN, CRNA, DNSC.

  • Certified Registered Nurse Anesthetist
  • Dyersburg, TN
National Provider Identifier
1174735047
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9842 Issued in TN
Practice address
400 E Tickle St
Dyersburg, TN 38024-3120
Phone
(731) 287-2389
Fax
(731) 287-2595
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9842 TN Primary

Addresses

Primary practice location

400 E Tickle St
Dyersburg, TN 38024-3120

Mailing address

400 E Tickle St
Dyersburg, TN 38024-3120
Phone (731) 287-2389

Other practice location 1

877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IL, IN, OH, PA, KY, MI, TX, AZ, NM10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20091221000001 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517007719 Reassigns benefits to 7 organizations
I20150317000663 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517007719 Reassigns benefits to 2 organizations
I20150917002456 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517007719 Reassigns benefits to 1 organization
I20160309002267 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517007719 Reassigns benefits to 1 organization
I20180516001081 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517007719 Reassigns benefits to 1 organization
I20200513000524 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517007719 Reassigns benefits to 1 organization
I20210301002553 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517007719
I20210325000013 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517007719 Reassigns benefits to 5 organizations
I20220718002193 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517007719 Reassigns benefits to 1 organization
I20250603003538 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517007719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
Ad of Texas PLLCGroup PAC ID 5294171823, 26 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110

1800 Park Place Ave
Fort Worth, TX 76110-1302
Phone (682) 703-5600

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

6800 Scenic Dr
Suite 1071
Rowlett, TX 75088-4552
Phone (972) 535-2946

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9842TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Pennsylvania, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 20, 2018 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 30, 2024 Accepting new patients
Ad of Texas PLLC CurrentSince Jun 21, 2025 Accepting new patients
Lifelinc Anesthesia VIII PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2025 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Feb 4, 2016 Accepting new patients
Lauderdale Community Hospital LLC Current Accepting new patients
Lauderdale Community Hospital LLC CurrentSince Jun 1, 2025 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2014 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Feb 10, 2020 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2025 Accepting new patients
Northstar Anesthesia of Indiana II, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 16, 2015 Accepting new patients
Lifelinc Anesthesia II, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 3, 2024 Accepting new patients
Lauderdale Community Hospital LLC CurrentSince Jun 1, 2025 Accepting new patients
Capital Anesthesia Solutions of Kentucky LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 27, 2020 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC CurrentSince Dec 22, 2020 Accepting new patients
Hospitalist Medicine Physicians of Texas - Dallas PLLC CurrentSince Jul 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Arizona - Nogales Nurse Anesthetist, Certified Registered CurrentSince Apr 24, 2022 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince May 1, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 5, 2025 Accepting new patients
Northstar Anesthesia of Tennessee, PLLC CurrentSince Jan 23, 2016 Accepting new patients
Ut Regional One Physicians Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 Accepting new patients
Ut Regional One Physicians Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Healthtexas Provider Network CurrentSince Sep 5, 2025 Accepting new patients
Dyersburg Hospital Company LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 35)

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

2200 Union Ave
Memphis, TN 38104
Phone (901) 274-5813

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

340 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

6421 Saratoga Blvd
Bldg 105
Corpus Christi, TX 78414
Phone (361) 985-9300

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/lauderd-6f671ec9

Organizations & group practices 25

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.

View all 25

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1174735047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E TICKLE ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243120",
            "telephone_number": "731-287-2389",
            "fax_number": "731-287-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E TICKLE ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243120",
            "telephone_number": "731-287-2389",
            "fax_number": "731-287-2595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "877 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381032807",
            "country_code": "US",
            "telephone_number": "901-545-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "NANETTE",
        "middle_name": "Y.",
        "credential": "APN, CRNA, DNSC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "9842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.