Individual provider Active NPI

Jennifer T. Wells, M.D.

  • Hepatology Physician
  • Cedar Park, TX
National Provider Identifier
1710920921
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hepatology PhysicianTaxonomy code 207RI0008X
License
N4128 Issued in TX
Practice address
1130 Cottonwood Creek TRL Ste C1
Cedar Park, TX 78613
Phone
(512) 454-8375
Fax
(888) 965-8836
NPI assigned
Jun 14, 2006
Last updated
Aug 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Hepatology Physician 207RT0003X N4198 TX
Hepatology Physician 207RI0008X N4128 TX Primary

Addresses

Primary practice location

1130 Cottonwood Creek TRL Ste C1
Cedar Park, TX 78613

Mailing address

1111 W 34TH St
Suite 210
Austin, TX 78705-1900
Phone (512) 454-8378

Other practice location 1

607 Camden St Ste 108
San Antonio, TX 78215-2100
Phone (210) 253-3426

Other practice location 2

1111 W 34th St
Suite 210
Austin, TX 78705-1900
Phone (512) 454-8378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090722000784 TX Practitioner - Internal MedicinePractitioner - GastroenterologyPractitioner - Other (Physician) 2264584267 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N4128TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jun 17, 2009 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 17, 2009 Accepting new patients
Healthtexas Provider Network Hepatology Current Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 3

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1710920921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W 34TH ST",
            "address_2": "SUITE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051900",
            "telephone_number": "512-454-8378",
            "fax_number": "512-454-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 COTTONWOOD CREEK TRL STE C1",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "512-454-8375",
            "fax_number": "888-965-8836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Camden St Ste 108",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782152100",
            "country_code": "US",
            "telephone_number": "210-253-3426",
            "fax_number": "210-227-6951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 W 34th St",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051900",
            "country_code": "US",
            "telephone_number": "512-454-8378",
            "fax_number": "512-454-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JENNIFER",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "TX",
            "license": "N4198",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "TX",
            "license": "N4128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.