Amy Wells

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3007959 Issued in KY

Practice address

801 Country Club LN
Hopkinsville, KY 42240-1370

Phone

(270) 484-0872

NPI assigned

Mar 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pennyroyal Healthcare Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hopkinsville, KY
  • NPI 1124319942
  Medicare reassignment NPD
• Enhance the Aesthetic & Wellness Co.

  • Primary Care Clinic/Center
  • Hopkinsville, KY
  • NPI 1598383572
  NPD
• Pennyroyal Healthcare Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Hopkinsville, KY
  • NPI 1104532332
  NPD
• Lifeskills, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Hopkinsville, KY
  • NPI 1346321643
  NPD (past)
• Lifeskills, Inc.

  • Community/Behavioral Health Agency
  • Bowling Green, KY
  • NPI 1669401816
  NPD (past)

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1427399617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 COUNTRY CLUB LN",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 COUNTRY CLUB LN",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401370",
            "telephone_number": "270-484-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY APRN LICENSE",
            "identifier": "3007959",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Watts
• Shaye Watts
• Jillian Montgomery Wease, MS, RD, LD
• Harry Weathers, RPH
• Courtney Za'Nea Weaver
• Gerame Tate Wells, M.D.
• Timmy Ray Wells
• Tonya Michelle Wells, DMD
• West Kentucky Dermatology, PSC
• West Kentucky Neurological Medicine, PLLC

• Family Nurse Practitioner in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.