Active NPI
Jennifer M Wellman, ARNP
- Family Nurse Practitioner
- Huntington, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 50871
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34876 | Other | WV | LICENSE |
| 78005741 | Medicaid | KY | |
| 2282524 | Medicaid | OH | |
| 3488P | Other | KS | LICENSE |
| 7105076000 | Medicaid | WV |
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
Enrollment records 1
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, Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| NP-07422 | OH | MD | Nurse Practitioner |
| 50871 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Systems Inc | Nurse Practitioner | Current | Accepting new patients |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems, Inc. | Current | Accepting new patients | |
| Valley Health Systems Inc | Nurse Practitioner | Current | Accepting new patients |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Family | Current | Accepting new patients |
| Valley Health Systems, Inc. | Current | Accepting new patients | |
| Valley Health Systems Inc | Nurse Practitioner | Current | Accepting new patients |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems, Inc. | Family | Current | 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
- 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.
-
dba Valley Health Wayne High School
- Federally Qualified Health Center (FQHC)
- Wayne, WV
- NPI 1194790022
-
dba Valley Health Huntington High
- Federally Qualified Health Center (FQHC)
- Huntington, WV
- NPI 1659346757
-
dba Valley Health East Huntington Health Center
- Federally Qualified Health Center (FQHC)
- Huntington, WV
- NPI 1720333461
Nurse Practitioner
-
dba Valley Health Highlawn
- Federally Qualified Health Center (FQHC)
- Huntington, WV
- NPI 1902962368
Nurse Practitioner
-
dba Valley Health Oakwood Road
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1013577303
-
dba Valley Health Harts PreK-Intermediate School Health Center
- Federally Qualified Health Center (FQHC)
- Harts, WV
- NPI 1154697431
-
dba Valley Health FoodFair Rt 60
- Federally Qualified Health Center (FQHC)
- Barboursville, WV
- NPI 1659733293
Family
-
- Clinical Medical Laboratory
- Huntington, WV
- NPI 1023083854
-
dba Valley Health Hospital Services
- Obstetrics & Gynecology Physician
- Huntington, WV
- NPI 1184699415
Family
-
dba Valley Health Hurricane
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1225154206
-
dba Cabell Midland Health Center
- Federally Qualified Health Center (FQHC)
- Ona, WV
- NPI 1417923236
-
dba Valley Health Southside YHC
- Federally Qualified Health Center (FQHC)
- Huntington, WV
- NPI 1710952031
Nurse Practitioner
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.