Active NPI
Kelly Nicole Wells, FNP-C
- Family Nurse Practitioner
- Danville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024186235
- Practice address
- 705 Main St
Danville, VA 24541-1803 - Phone
- (434) 791-4123
- NPI assigned
- Jan 18, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024186235 | VA | Primary |
Addresses
Primary practice location
705 Main St
Danville, VA 24541-1803
Mailing address
705 Main St
Danville, VA 24541-1803
Phone (434) 791-4123
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Beginning | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
705 Main St
Danville, VA 24541-1803
Phone (434) 791-4122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Access to Health Services, Inc | Current | Accepting new patients | |
| Piedmont Access to Health Services, Inc | Current | Accepting new patients | |
| Piedmont Access to Health Services, Inc | Current | Accepting new patients | |
| Piedmont Access to Health Services Inc | Past | Accepting new patients |
Locations
30 S Main St
Chatham, VA 24531
Phone (434) 432-4443
705 Main St
Danville, VA 24541
Phone (434) 791-4122
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Danville, VA
- NPI 1649240698
-
dba PATHS Community Medical Center Danville Riverside
- Federally Qualified Health Center (FQHC)
- Danville, VA
- NPI 1114630662
-
dba Health Center of the Piedmont Boydton
- Federally Qualified Health Center (FQHC)
- Boydton, VA
- NPI 1972861151
-
dba Health Center of Piedmont Danville
- Federally Qualified Health Center (FQHC)
- Danville, VA
- NPI 1578696910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1336854942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 MAIN ST",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411803",
"telephone_number": "434-791-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 MAIN ST",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411803",
"telephone_number": "434-791-4123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "KELLY",
"middle_name": "NICOLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024186235",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Beginning",
"affiliation": "N",
"endpointDescription": "End",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "705 Main St",
"city": "Danville",
"state": "VA",
"country_code": "US",
"postal_code": "245411803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.