Merry Wells, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

901416 Issued in MS

Practice address

2475 5TH St N
Columbus, MS 39705-2005

Phone

(662) 328-1254

NPI assigned

Jan 21, 2016

Last updated

Jan 4, 2019By the provider in NPPES

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 MS

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

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23614/brand/1/csg/1/fhir/r4
• Direct secure messaging: merry.wells.1@23614.direct.athenahealth.com

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.

• Caledonia Community Clinic, LLC

  • Family Medicine Physician
  • Caledonia, MS
  • NPI 1619552130
  Medicare reassignment NPD
• Fig Leaf, LLC

  dba Caledonia Community Clinic

  • Nurse Practitioner
  • Caledonia, MS
  • NPI 1013426329
  NPD

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1497112403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052005",
            "telephone_number": "662-328-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052005",
            "telephone_number": "662-328-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MERRY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "901416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08156515",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clare Weitz, PHARMD
• Errole Hope Glidewell Welch, PHARM.D.
• Ron Welch
• Wells Counseling Associates, Inc
• Debbie K Wells, LPC
• Ryan Wendt, M.D.
• Jeremy Westbrook, PTA
• Westmoreland Dermatology & Surgery Center, PA
• Westmoreland Dermatology and Surgery Center
• Terry Westmoreland, M.D.

• Nurse Practitioner in Columbus, MS
• Providers in Columbus, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.