Individual provider Active NPI

Emily A Wells, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pulaski, NY
National Provider Identifier
1598459018
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404986 Issued in NY
Practice address
61 Delano St
Pulaski, NY 13142-1400
Phone
(315) 298-6564
Fax
(315) 298-7831
NPI assigned
Jun 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 404986 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404986 NY Primary

Addresses

Primary practice location

61 Delano St
Pulaski, NY 13142-1400

Mailing address

61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-6564

Other practice location 1

510 S 4th St Ste 600
Fulton, NY 13069-2952
Phone (315) 598-4790

Other practice location 2

7 Bridge St
Phoenix, NY 13135-1906
Phone (315) 695-4700

Other practice location 3

120 E 1st St
Oswego, NY 13126-2111
Phone (315) 342-0880

Other practice location 4

124 Salisbury St
Sandy Creek, NY 13145-7706
Phone (315) 387-3620

Other practice location 5

3045 East Ave Ste G400
Central Square, NY 13036-2611
Phone (315) 675-9200

Other practice location 6

5856 Scenic Ave
Mexico, NY 13114-3012
Phone (315) 963-4133

Other practice location 7

2 Hinman Rd
Pulaski, NY 13142-2200
Phone (315) 298-2570

Other practice location 8

16 Fravor Rd
Mexico, NY 13114-3011
Phone (315) 963-8400 ext. 4208

Other practice location 9

4624 Salina St
Pulaski, NY 13142-2102
Phone (315) 298-2696

Other practice location 10

640 County Route 22
Parish, NY 13131-3339
Phone (315) 625-5210

Other practice location 11

26 Academy St
Mexico, NY 13114-3010
Phone (315) 963-8400 ext. 4208

Other practice location 12

639 County Route 22
Parish, NY 13131-3339
Phone (315) 625-5213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230719001476 NY Practitioner - Nurse Practitioner 5496115636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-6569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
404986NYMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Oswego County Health Services, Inc. CurrentSince Jul 17, 2023 Accepting new patients

Locations

3045 East Ave
Central Square, NY 13036
Phone (315) 668-1202

3045 East Ave
Ste G400
Central Square, NY 13036
Phone (315) 675-9200

510 S 4th St
Ste 600
Fulton, NY 13069
Phone (315) 598-4790

26 Academy St
Mexico, NY 13114
Phone (315) 963-8400

16 Fravor Rd
Mexico, NY 13114
Phone 3159638400 ext. 4208

5856 Scenic Ave
Mexico, NY 13114
Phone (315) 963-4133

120 E 1st St
Oswego, NY 13126
Phone (315) 342-0880

640 County Route 22
Parish, NY 13131
Phone (315) 625-5210

639 County Route 22
Parish, NY 13131
Phone (315) 625-5213

7 Bridge St
Phoenix, NY 13135
Phone (315) 695-4100

61 Delano St
Pulaski, NY 13142
Phone (315) 298-4274

2 Hinman Rd
Pulaski, NY 13142
Phone (315) 298-2412

4624 Salina St
Pulaski, NY 13142
Phone (315) 298-2696

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": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1598459018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DELANO ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131421400",
            "telephone_number": "315-298-6564",
            "fax_number": "315-298-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 DELANO ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131421400",
            "telephone_number": "315-298-6564",
            "fax_number": "315-298-7831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 S 4th St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "NY",
            "postal_code": "130692952",
            "country_code": "US",
            "telephone_number": "315-598-4790",
            "fax_number": "315-297-4748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "NY",
            "postal_code": "131351906",
            "country_code": "US",
            "telephone_number": "315-695-4700",
            "fax_number": "315-695-4706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131262111",
            "country_code": "US",
            "telephone_number": "315-342-0880",
            "fax_number": "315-593-6195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 Salisbury St",
            "address_purpose": "LOCATION",
            "city": "Sandy Creek",
            "state": "NY",
            "postal_code": "131457706",
            "country_code": "US",
            "telephone_number": "315-387-3620",
            "fax_number": "315-387-2912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3045 East Ave Ste G400",
            "address_purpose": "LOCATION",
            "city": "Central Square",
            "state": "NY",
            "postal_code": "130362611",
            "country_code": "US",
            "telephone_number": "315-675-9200",
            "fax_number": "315-630-3168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5856 Scenic Ave",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143012",
            "country_code": "US",
            "telephone_number": "315-963-4133",
            "fax_number": "315-963-4960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Hinman Rd",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131422200",
            "country_code": "US",
            "telephone_number": "315-298-2570",
            "fax_number": "315-298-7457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Fravor Rd",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143011",
            "country_code": "US",
            "telephone_number": "315-963-8400 x4208",
            "fax_number": "315-630-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4624 Salina St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131422102",
            "country_code": "US",
            "telephone_number": "315-298-2696",
            "fax_number": "315-398-3460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 County Route 22",
            "address_purpose": "LOCATION",
            "city": "Parish",
            "state": "NY",
            "postal_code": "131313339",
            "country_code": "US",
            "telephone_number": "315-625-5210",
            "fax_number": "315-625-7974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Academy St",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143010",
            "country_code": "US",
            "telephone_number": "315-963-8400 x4208",
            "fax_number": "315-630-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "639 County Route 22",
            "address_purpose": "LOCATION",
            "city": "Parish",
            "state": "NY",
            "postal_code": "131313339",
            "country_code": "US",
            "telephone_number": "315-625-5213",
            "fax_number": "315-625-7974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "EMILY",
        "middle_name": "A",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404986",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, NY

Sources for this page

Verify at the official NPI Registry.