Individual provider Active NPI

David Ethan Wells, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Goodlettsville, TN
National Provider Identifier
1497514129
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
35949 Issued in TN
Practice address
204 Bluebird Dr
Goodlettsville, TN 37072-2302
Phone
(615) 212-8887
NPI assigned
Mar 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 35949 TN Primary

Addresses

Primary practice location

204 Bluebird Dr
Goodlettsville, TN 37072-2302

Mailing address

3078 Sapgate LN
Nashville, TN 37207-3083
Phone (931) 580-6520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20250411000218 TN Practitioner - Nurse Practitioner 1759805708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Open Minds Mental Health LLCGroup PAC ID 5991233272, 5 clinicians

Practice addresses (Care Compare)

204 Bluebird Dr
Goodlettsville, TN 37072-2302
Phone (615) 212-8887

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35949TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Minds Mental Health LLC CurrentSince Feb 7, 2025 Accepting new patients

Locations

206 Bluebird Dr
Ste 101
Goodlettsville, TN 37072

206 Bluebird Dr
Goodlettsville, TN 37072
Phone (615) 212-8887

204 Bluebird Dr
Goodlettsville, TN 37072
Phone (615) 212-8887

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1497514129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3078 SAPGATE LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372073083",
            "telephone_number": "931-580-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BLUEBIRD DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722302",
            "telephone_number": "615-212-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DAVID",
        "middle_name": "ETHAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-15",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "35949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.