Individual provider Active NPI

Christina L. Wellmann, FNP-BC

  • Adult Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1679909766
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
164279 Issued in TN
Practice address
3443 Dickerson Pike Ste 370
Nashville, TN 37207-2535
Phone
(615) 769-2799
Fax
(615) 769-2798
NPI assigned
Sep 19, 2013
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 17893 TN
Adult Health Nurse Practitioner 363LA2200X 164279 TN Primary

Addresses

Primary practice location

3443 Dickerson Pike Ste 370
Nashville, TN 37207-2535

Mailing address

3443 Dickerson Pike Ste 370
Nashville, TN 37207-2535
Phone (615) 769-2799

Other identifiers 1

IdentifierTypeStateIssuer
1679909766MedicaidTN

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
I20141113001657 TN Practitioner - Nurse Practitioner 1153551361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skyline Medical Group LLCGroup PAC ID 6709885189, 43 clinicians

Practice addresses (Care Compare)

3443 Dickerson Pike
Suite 370
Nashville, TN 37207-2535
Phone (615) 769-2799

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.74 of 100Reported as group
Quality
69.38
Promoting interoperability
100
Improvement activities
40
Cost
69.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17893TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Medical Group LLC CurrentSince Nov 27, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

3443 Dickerson Pike
Ste 370
Nashville, TN 37207
Phone (615) 769-2799

3443 Dickerson Pike
Ste G30
Nashville, TN 37207
Phone (615) 234-6390

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1679909766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 370",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072535",
            "telephone_number": "615-769-2799",
            "fax_number": "615-769-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 370",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072535",
            "telephone_number": "615-769-2799",
            "fax_number": "615-769-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLMANN",
        "first_name": "CHRISTINA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "17893",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "164279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679909766",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.