Individual provider Active NPI

Shelley Rose Wells, APRN,BC

  • Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1689796716
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F2801 Issued in SC
Practice address
1655 E Greenville St
Anderson, SC 29621-2062
Phone
(864) 716-7750
Fax
(864) 716-7759
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F2801 SC
Nurse Practitioner 363L00000X F2801 SC Primary

Addresses

Primary practice location

1655 E Greenville St
Anderson, SC 29621-2062

Mailing address

PO Box 2087
Anderson, SC 29622-2087
Phone (864) 716-7750

Other identifiers 1

IdentifierTypeStateIssuer
NP1465MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20090728000816 SC Practitioner - Nurse Practitioner 1456404177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, 348 clinicians

Practice addresses (Care Compare)

1655 E Greenville St a
Anderson, SC 29621-2062
Phone (864) 224-6375

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F2801SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Family Medicine CurrentSince Oct 7, 2021 Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Anmed Health CurrentSince Oct 7, 2021 Accepting new patients
Anmed Health Past Accepting new patients

Locations

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

1655 E Greenville St
Anderson, SC 29621
Phone (803) 224-6375

1655 E Greenville St
#A
Anderson, SC 29621
Phone (864) 224-6375

1655 E Greenville St
Ste A
Anderson, SC 29621
Phone (864) 716-7750

2110 Highway 86
Ste H
Piedmont, SC 29673
Phone (864) 512-7636

Interoperability endpoints

  • Direct secure messaging: swells8315@direct.anmedhealth.net

Organizations & group practices 4

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.

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1689796716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2087",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296222087",
            "telephone_number": "864-716-7750",
            "fax_number": "864-716-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212062",
            "telephone_number": "864-716-7750",
            "fax_number": "864-716-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "SHELLEY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "F2801",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "F2801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1465",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.