Individual provider Active NPI

Christina Lynn Wells, FNP

  • Family Nurse Practitioner
  • Shiloh, IL
National Provider Identifier
1699144303
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209023830 Issued in IL
Practice address
1418 Cross St
Div Wupi Hematology, Ste 180
Shiloh, IL 62269-2914
Phone
(314) 362-7216
Fax
(314) 696-1391
NPI assigned
Sep 23, 2015
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209023830 IL Primary

Addresses

Primary practice location

1418 Cross St
Div Wupi Hematology, Ste 180
Shiloh, IL 62269-2914

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-7216

Other identifiers 1

IdentifierTypeStateIssuer
420155582MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20211207001737 IL Practitioner - Nurse Practitioner 6002118411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1418 Cross St
Suite 180
Shiloh, IL 62269-2965
Phone (618) 607-1340

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde CurrentSince Nov 1, 2021 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Apr 12, 2025 Accepting new patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde CurrentSince Dec 1, 2021 Accepting new patients
Washington University Physicians in Illinois, Inc Current Accepting new patients
Hendrick Medical Center Current Accepting new patients
Washington University Physicians in Illinois, Inc. CurrentSince Apr 12, 2025 Accepting new patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde CurrentSince Dec 1, 2021 Accepting new patients
Washington University Past Accepting new patients
Samantha H. Goodman, MD, PLLC PastSince Oct 1, 2020 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

9401 Holy Cross Ln
#112
Breese, IL 62230
Phone (618) 526-7271

9401 Holy Cross Ln
Ste 112
Breese, IL 62230
Phone (618) 206-2082

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

1418 Cross St
Ste 180
Shiloh, IL 62269
Phone (618) 607-1340

1201 N 18th St
Abilene, TX 79601
Phone (325) 793-3300

Interoperability endpoints

  • Direct secure messaging: christinawells@hmc.allscriptsdirect.net

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1699144303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-362-7216",
            "fax_number": "314-696-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 CROSS ST",
            "address_2": "DIV WUPI HEMATOLOGY, STE 180",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622692914",
            "telephone_number": "314-362-7216",
            "fax_number": "314-696-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "CHRISTINA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2025-06-20",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420155582",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1418 Cross St",
            "address_2": "Div WUPI Hematology, Ste 180",
            "city": "Shiloh",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622692914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

Verify at the official NPI Registry.