Individual provider Active NPI

Jennifer M Wellman, ARNP

  • Family Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1396831608
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
50871 Issued in WV
Practice address
1 Timberwolf Drive
Huntington, WV 25704
Phone
(304) 429-1764
Fax
(304) 429-1746
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP-07422 OH
Nurse Practitioner 363L00000X 3488P KY
Family Nurse Practitioner 363LF0000X 50871 WV Primary

Addresses

Primary practice location

1 Timberwolf Drive
Huntington, WV 25704

Mailing address

PO Box 1680
Huntington, WV 25717
Phone (304) 697-1396

Other practice location 1

100 Pioneer Rd
Wayne, WV 25570-9504
Phone (304) 272-3783

Other practice location 2

85 Donohoe Dr
Huntington, WV 25705-8887
Phone (304) 399-3310

Other identifiers 5

IdentifierTypeStateIssuer
34876OtherWVLICENSE
78005741MedicaidKY
2282524MedicaidOH
3488POtherKSLICENSE
7105076000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20131203001398 WV Practitioner - Nurse Practitioner 8022178714 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Systems, IncGroup PAC ID 9931017969, shared by 41 NPIs, 110 clinicians

Practice addresses (Care Compare)

100 Pioneer Rd
Wayne, WV 25570-9504
Phone (304) 272-3783

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-07422OHMDNurse Practitioner
50871WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems Inc Nurse Practitioner Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Dec 22, 2013 Accepting new patients
Valley Health Systems Inc Nurse Practitioner CurrentSince Sep 8, 2013 Accepting new patients
Valley Health Systems Inc CurrentSince Dec 22, 2013 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Family Current Accepting new patients
Valley Health Systems, Inc. CurrentSince May 3, 2021 Accepting new patients
Valley Health Systems Inc Nurse Practitioner CurrentSince Sep 8, 2013 Accepting new patients
Valley Health Systems Inc CurrentSince Dec 22, 2013 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. Family CurrentSince May 3, 2021 Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Locations

6350 US Route 60 E
Barboursville, WV 25504
Phone (304) 399-3350

864 Oakwood Rd
Charleston, WV 25314
Phone (304) 343-2807

71 Wayne St
Fort Gay, WV 25514
Phone (304) 648-5544

1246 McClellan Hwy
Harts, WV 25524
Phone (304) 310-1246

85 Donohoe Dr
Huntington, WV 25705
Phone (304) 399-3310

723 9th Ave
Huntington, WV 25701
Phone (304) 529-0645

1 Highlander Way
Huntington, WV 25701
Phone (304) 528-6445

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

11315 US Route 60
Ona, WV 25545
Phone (304) 743-7495

100 Pioneer Rd
Wayne, WV 25570
Phone (304) 272-3783

42 McGinnis Dr
Wayne, WV 25570
Phone (304) 272-5136

Interoperability endpoints

  • Direct secure messaging: jwellman20121@valleyhealthsystems.direct-ci.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1396831608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1680",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25717",
            "telephone_number": "304-697-1396",
            "fax_number": "304-697-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIMBERWOLF DRIVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25704",
            "telephone_number": "304-429-1764",
            "fax_number": "304-429-1746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Pioneer Rd",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "WV",
            "postal_code": "255709504",
            "country_code": "US",
            "telephone_number": "304-272-3783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Donohoe Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257058887",
            "country_code": "US",
            "telephone_number": "304-399-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLMAN",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP-07422",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3488P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "50871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "34876",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78005741",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2282524",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3488P",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7105076000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.