B-Well, LLC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

Legal business name

B-WELL, LLC

Doing business as

B-Well Balanced Primary Care

Practice address

2930 Hillrise Dr Ste 6
Las Cruces, NM 88011-4776

Phone

(575) 556-9954

NPI assigned

Mar 10, 2023

Last updated

Jul 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheila Bardwell, NPNPI 1437638657

Title

Owner

Phone

(575) 640-0748

Specialties & licenses 1

Addresses

Other names 1

• B-Well Balanced Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheila Ann Bardwell, NP

  • Acute Care Nurse Practitioner
  • Las Cruces, NM
  • NPI 1437638657
  Medicare reassignment NPD Authorized official
• Brandi Gorzeman, R.N.

  • Nurse Practitioner
  • Las Cruces, NM
  • NPI 1962823914
  Medicare reassignment NPD

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1558062216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 THIELMAN RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880054640",
            "telephone_number": "575-640-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 HILLRISE DR STE 6",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114776",
            "telephone_number": "575-556-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B-WELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2024-07-08",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "BARDWELL",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-640-0748",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B-Well Balanced Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amelia Ayala, MS CCC-SLP
• Cynthia Ayala
• Jonathan Antonio Ayala
• Paola Ayala
• Damian Azure
• Johana Baca Flores, LMHC
• Cristina Ann Baca
• Erica Valerie Baca
• Irene Baca
• Iris G Baca, LMT 5746

• Acute Care Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Acute Care Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.