Individual provider Active NPI

Tamara Kay Wellman, NP

  • Family Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1700084480
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3005429 Issued in KY
Practice address
6752 Midland Trail Road
Ashland, KY 41102
Phone
(606) 928-1881
Fax
(606) 928-1776
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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 3005429 KY Primary

Addresses

Primary practice location

6752 Midland Trail Road
Ashland, KY 41102

Mailing address

6752 Midland Trail Road
Ashland, KY 41102
Phone (606) 928-1881

Other identifiers 7

IdentifierTypeStateIssuer
3810010696MedicaidWV
000000564534OtherKYANTHEM BCBS
000000598315OtherKYANTHEM BCBS
1072499OtherKYBRICKSTREET
000000609846OtherKYANTHEM BCBS
2830093MedicaidOH
7100025700MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tamara.wellman@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20071117000028 KY Practitioner - Nurse Practitioner 2163510686 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kentucky College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, 169 clinicians

Practice addresses (Care Compare)

12470 US
Suite 60
Ashland, KY 41102
Phone (606) 928-1881

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3005429KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Nurse Practitioner CurrentSince Jun 24, 2024 Accepting new patients
Kings Daughters Medical Specialties Inc Nurse Practitioner Current Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Ashland Hospital Corporation Nurse Practitioner CurrentSince Jun 24, 2024 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jan 6, 2025 Accepting new patients
Ashland Hospital Corporation Current Accepting new patients
University Physicians & Surgeons, Inc Family CurrentSince Jun 1, 2020 Accepting new patients
Kings Daughters Medical Specialties Inc Nurse Practitioner CurrentSince Jan 6, 2025 Accepting new patients
Our Lady of Bellefonte Hospital Inc Past Accepting new patients
Our Lady of Bellefonte Hospital Nurse Practitioner Past Accepting new patients

Locations

12470 US Route 60
Ashland, KY 41102
Phone (606) 408-6303

2028 Winchester Ave
Ashland, KY 41101
Phone (606) 326-9001

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

2001 Winchester Ave
Ashland, KY 41101
Phone (606) 324-3444

6572 Midland Trail Rd
Ashland, KY 41102
Phone (606) 928-1881

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

1180 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 408-3143

613 23rd St
Ste 350
Ashland, KY 41101
Phone (606) 327-0036

1200 Central Ave
Ste 4
Ashland, KY 41101
Phone (606) 324-1483

1600 Medical Center Dr
Ste 1500
Huntington, WV 25701
Phone (304) 691-1100

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 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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1700084480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6752 MIDLAND TRAIL ROAD",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41102",
            "telephone_number": "606-928-1881",
            "fax_number": "606-928-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6752 MIDLAND TRAIL ROAD",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41102",
            "telephone_number": "606-928-1881",
            "fax_number": "606-928-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLMAN",
        "first_name": "TAMARA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010696",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000564534",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000598315",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKSTREET",
            "identifier": "1072499",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000609846",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2830093",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100025700",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tamara.wellman@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1600 Medical Center Dr Ste 1500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.