Individual provider Active NPI

Mary E Wells, CFNP

  • Family Nurse Practitioner
  • Giddings, TX
National Provider Identifier
1285709774
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
257158 Issued in TX
Practice address
849 E Industry St
Giddings, TX 78942-4301
Phone
(979) 540-2122
Fax
(979) 540-2120
NPI assigned
Nov 21, 2006
Last updated
Oct 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 257158 TX Primary

Addresses

Primary practice location

849 E Industry St
Giddings, TX 78942-4301

Mailing address

849 E Industry St
Giddings, TX 78942-4301
Phone (979) 540-2122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20040930001227 TX Practitioner - Nurse Practitioner 9234108648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

849 E Industry
Giddings, TX 78942-4301
Phone (979) 540-2122

849 E Industry St
Giddings, TX 78942-4301

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marys Clinic Inc CurrentSince Jul 10, 2011 Accepting new patients
Rapidcare Clinic PA Past Accepting new patients
Partners in Chronic Disease Management Inc PastSince Mar 1, 2013 Accepting new patients
McBroom Clinic PA Past Accepting new patients
The Paull Allergy & Asthma Clinic, P.a Past Accepting new patients
Jojoha, LLC Past Accepting new patients
St Davids Heart & Vascular, PLLC Past Accepting new patients

Locations

849 E Industry St
Giddings, TX 78942
Phone (979) 540-2122

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19983/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1285709774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 E INDUSTRY ST",
            "city": "GIDDINGS",
            "state": "TX",
            "postal_code": "789424301",
            "telephone_number": "979-540-2122",
            "fax_number": "979-540-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 E INDUSTRY ST",
            "city": "GIDDINGS",
            "state": "TX",
            "postal_code": "789424301",
            "telephone_number": "979-540-2122",
            "fax_number": "979-540-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "257158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Giddings, TX

Sources for this page

Verify at the official NPI Registry.