Wellston Medical Center PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WELLSTON MEDICAL CENTER PLLC

Practice address

14477 Caberfae Hwy
Wellston, MI 49689-9315

Phone

(231) 848-4777

Fax

(231) 848-4027

NPI assigned

Oct 8, 2006

Last updated

Jun 26, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Ann Warnsholz

Title

Co-Owner/Manager

Phone

(231) 655-0095

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700973922. Details of each certification follow.

• CCN 233919 Rural health clinic · Active · Details

Rural health clinic certification: CCN 233919

Legal name

WELLSTON MEDICAL CENTER PLLC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Sep 12, 1997

Last certification

Nov 9, 2020

Ownership / control type

1C

Organization structure

OtherProprietary

Incorporated

Aug 10, 2007 in MI

Enrollment address

14477 Caberfae Highway
Wellston, MI 49689-9802

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jordan Warnsholz, PA

  • Physician Assistant
  • Wellston, MI
  • NPI 1649692732

  5% Or Greater Direct Ownership Interest, General Partnership Interest, W-2 Managing Employee

  CMS ownership

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Bliss, PAC

  • Medical Physician Assistant
  • Wellston, MI
  • NPI 1114014180
  Medicare reassignment Care Compare group
• Jordan Warnsholz, PA

  • Physician Assistant
  • Wellston, MI
  • NPI 1649692732
  Medicare reassignment Care Compare group
• Melissa Ann Fleszar, ARNP

  • Family Nurse Practitioner
  • Punta Gorda, FL
  • NPI 1326361619

  MI

  Medicare reassignment
• Raymond D Tracy, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Walkerville, MI
  • NPI 1588664064
  NPD (past)
• Sara N. Wine, D.O.

  • Family Medicine Physician
  • Milford, MI
  • NPI 1770513921
  NPD (past)

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

{
    "created_epoch": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1700973922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14477 CABERFAE HWY",
            "city": "WELLSTON",
            "state": "MI",
            "postal_code": "496899315",
            "telephone_number": "231-655-0095",
            "fax_number": "231-848-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14477 CABERFAE HWY",
            "city": "WELLSTON",
            "state": "MI",
            "postal_code": "496899315",
            "telephone_number": "231-848-4777",
            "fax_number": "231-848-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTON MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-08",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "WARNSHOLZ",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CO-OWNER/MANAGER",
        "authorized_official_telephone_number": "231-655-0095"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fischer Corporation
• Jennifer Tabar, LPC, LLC
• Norman Township
• Rural Health Associates LLP (Kaleva Medical Center PLLC)
• Jordan Warnsholz, PA
• Wrigleys Pharmacy 6, LLC

• Rural Health Clinic/Center in Wellston, MI
• Providers in Wellston, MI by specialty
• Rural Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.