Ann Marie Wells, FNP-BC, APNP
Individual provider Active NPI Family Nurse Practitioner · Oneida, WI
NPI 1225317795 · NPPES record last updated Sep 24, 2013
Key facts
- NPI
- 1225317795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4505-33 (WI)
- Practice address
- 525 Airport Dr.
Oneida, WI 54155 - Phone
- (920) 869-2711
- Fax
- (920) 869-1077
- NPI assigned
- Aug 15, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oneida Nation
Practice addresses (Care Compare)
525 Airport Dr
Oneida, WI 54155-9035
Phone (920) 869-2711
Hospital & facility affiliations
- St Marys Hospital Medical Ctr
- Anna John Resident Centered Care Community
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.87 of 100
- Quality
- 76.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.09
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110915000831 | WI | Practitioner - Nurse Practitioner | 1658542014 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4505-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneida Nation | Current |
Accepting new patients | |
| Oneida Nation | Past | Accepting new patients |
Locations
525 Airport Dr
Oneida, WI 54155
Phone (920) 869-2711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4505-33 | WI | Yes |
Addresses
Primary practice location
525 Airport Dr.
Oneida, WI 54155
Mailing address
PO Box 365
Oneida, WI 54155
Phone (920) 869-2711
Other providers in Oneida, WI
- Brittany N Vanboxel
- Gerald R Verstoppen
- Ravinder Vir
- Lea R Warrington
- Stacey J Weise
- Sidney J White
- Yvonne White
All providers in Oneida, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2013. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.