Jennings County Wellcare PC – Nurse Practitioner

Key facts

NPI: 1194580886
Entity type: Organization (NPI type 2)
Primary specialty: Nurse Practitioner 363L00000X
Legal business name: JENNINGS COUNTY WELLCARE PC
Practice address: 2200 N State Highway 7
North Vernon, IN 47265-7192
Phone: (812) 346-4181
NPI assigned: Feb 21, 2024
Organization subpart: No

Authorized official

Name: Bruce Phillips NPI 1952491938
Title: Clinic Director
Phone: (812) 346-4181

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Emma Pierce, DC Chiropractor · Crothersville, IN · NPI 1639044076

Medicare reassignment NPD IN
Michelle Smith Family Nurse Practitioner · Columbus, IN · NPI 1194477588

Medicare reassignment NPD IN
Bruce A Phillips, D.C. Chiropractor · North Vernon, IN · NPI 1952491938

NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IN

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20240320001181	IN	Part B Supplier - Clinic/Group Practice	6507203023	Receives reassigned benefits from 2 practitioners Practice locations: North Vernon, IN

National Provider Directory

Locations

2200 N State Highway 7
North Vernon, IN 47265
Phone (812) 346-4181

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Multi-Specialty Clinic/Center	261QM1300X
Nurse Practitioner Group: 193200000X MULTI-SPECIALTY GROUP	363L00000X			Yes

Addresses

Primary practice location

2200 N State Highway 7
North Vernon, IN 47265-7192

Mailing address

2200 N State Highway 7
North Vernon, IN 47265-7192
Phone (812) 346-4181

Other providers in North Vernon, IN

All providers in North Vernon, IN · Nurse Practitioner in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.