Individual provider Active NPI

Travis Dellorn Wells, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1477195352
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013591 Issued in KY
Practice address
2250 Leestown Rd
Lexington, KY 40511-1052
Phone
(859) 893-2385
NPI assigned
Oct 12, 2019
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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 3013591 KY Primary

Addresses

Primary practice location

2250 Leestown Rd
Lexington, KY 40511-1052

Mailing address

PO Box 1011
Richmond, KY 40476-1011
Phone (859) 233-4511

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211117001664 KY Practitioner - Nurse Practitioner 7810386620 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3013591KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Man O War Urgent Care LLC Nurse Practitioner CurrentSince Sep 22, 2021 Accepting new patients
Lexington Urgent Care PLLC Nurse Practitioner CurrentSince Sep 22, 2021 Accepting new patients
Central Emergency Physicians, PSC Nurse Practitioner CurrentSince Feb 1, 2024 Accepting new patients
Georgetown Urgent Care PLLC Nurse Practitioner CurrentSince Sep 22, 2021 Accepting new patients
Berea Urgent Care LLC Nurse Practitioner CurrentSince Sep 22, 2021 Accepting new patients

Locations

234 Brenwood St
Berea, KY 40403
Phone (859) 985-0302

111 Osborne Way
#101
Georgetown, KY 40324
Phone (859) 466-8956

1701 Nicholasville Rd
Lexington, KY 40503
Phone (859) 278-9373

1701 Nicholasville Rd
Ste 100
Lexington, KY 40503
Phone (859) 466-8956

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

4097 Nichols Park Dr
Ste 108
Lexington, KY 40503
Phone (859) 245-2273

801 Eastern Byp
Richmond, KY 40475
Phone (606) 623-3131

432 Lexington Rd
Versailles, KY 40383
Phone (859) 523-5310

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1570838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1477195352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1011",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404761011",
            "telephone_number": "859-233-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 LEESTOWN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111052",
            "telephone_number": "859-893-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "TRAVIS",
        "middle_name": "DELLORN",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.