Wendy Elizabeth Bayless, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Plymouth, NH
NPI 1700514395 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1700514395
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 068994-23 (NH)
- Practice address
- 13 Town West Rd Ste B-3
Plymouth, NH 03264-3428 - Phone
- (603) 945-8048
- Fax
- (603) 945-7110
- NPI assigned
- Aug 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Health LLC
Practice addresses (Care Compare)
13 Town W Rd
Suite B 3
Plymouth, NH 03264-3428
Phone (603) 945-8048
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260402002929 | NH | Practitioner - Nurse Practitioner | 6901381367 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3017993 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
| 068994-23 | NH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health LLC | Current |
Accepting new patients | |
| Cansler Health, LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Therapeutic Medical Weight Loss, LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
308 W 15th St
Hopkinsville, KY 42240
Phone (270) 660-8866
13 Town West Rd
Ste B3
Plymouth, NH 03264
Phone (603) 945-8048
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3017993 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 068994-23 | NH | Yes |
Addresses
Primary practice location
13 Town West Rd Ste B-3
Plymouth, NH 03264-3428
Mailing address
308 W 15TH St
Hopkinsville, KY 42240-2038
Phone (706) 608-8662
Other practice location 1
308 W 15th St
Hopkinsville, KY 42240-2038
Phone (270) 660-8866
Other providers in Plymouth, NH
- Steven Vincent Ball
- Mark J Banister
- Margaret Kent Barton
- Owen Baum
- Andrew Donald Baxter
- Jonathan Charles Beach
- Makenna Beach
- Frances Marian Belcher
- Ashley Benes
- Jennifer Bentwood
All providers in Plymouth, NH · Psychiatric/Mental Health Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.