Active NPI
Jennifer Nicole Weller, PMHNP, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Seymour, IN
National Provider Identifier
1629643820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71011227A
- Practice address
- 120 Saint Louis Ave
Seymour, IN 47274-2304 - Phone
- (812) 405-1857
- NPI assigned
- May 21, 2021
- Last updated
- Aug 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71011227A | IN | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 28237224A | IN | |
| Infusion Therapy Registered Nurse | 163WI0500X | 28237224A | IN |
Addresses
Primary practice location
120 Saint Louis Ave
Seymour, IN 47274-2304
Mailing address
1888 Poshard Dr
Columbus, IN 47203-1897
Phone (812) 657-0376
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jeniwils@outlook.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28237224A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
| 71011227A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginnings Recovery Center, LLC | Past | Accepting new patients | |
| Roadways to Recovery Inc., | Psychiatric/Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Addiction (Substance Use Disorder) Counselor
- Seymour, IN
- NPI 1568926715
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bedford, IN
- NPI 1740856483
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1629643820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1888 POSHARD DR",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472031897",
"telephone_number": "812-657-0376",
"fax_number": "812-508-8459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SAINT LOUIS AVE",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742304",
"telephone_number": "812-405-1857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLER",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"credential": "PMHNP, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71011227A",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "28237224A",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "IN",
"license": "28237224A",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jeniwils@outlook.com",
"affiliation": "N",
"endpointDescription": "Direct business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "305 Coovert St",
"city": "Columbus",
"state": "IN",
"country_code": "US",
"postal_code": "472017239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.