John Wells, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R785358 Issued in MS

Practice address

415 S 28TH Ave
Hattiesburg, MS 39401-7246

Phone

(601) 261-3606

Fax

(601) 579-5383

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifelinc Anesthesia PLLCGroup PAC ID 0941347447, 169 clinicians

Magee Benevolent AssociationGroup PAC ID 3678466463, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Magee General Hospital Hospital, Magee, MS, CCN 250124

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Magee Benevolent Association

  • Family Nurse Practitioner
  • Raleigh, MS
  • NPI 1225157258

  MS

  Medicare reassignment Care Compare group NPD
• Lifelinc Anesthesia, PLLC

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1801021464

  MS, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Southern Eye Surgery and Laser Center, LLC

  • Anesthesiology Physician
  • Laurel, MS
  • NPI 1295244226

  MS

  Medicare reassignment NPD
• Southern Eye Surgery Center LLC

  • Anesthesiology Physician
  • Hattiesburg, MS
  • NPI 1417112277

  MS

  Medicare reassignment NPD
• Sweet Dreams Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Meridian, MS
  • NPI 1427667724

  MS, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Youngs Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  MS, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Magee Benevolent Association

  • General Acute Care Hospital
  • Magee, MS
  • NPI 1679553994
  Care Compare group NPD
• Magee Benevolent Association

  • Medicare Defined Swing Bed Hospital Unit
  • Magee, MS
  • NPI 1407976913
  Care Compare group
• Magee Benevolent Association

  • General Acute Care Hospital
  • Magee, MS
  • NPI 1396865754
  NPD
• Southern Eye Surgery Center LLC

  • Ophthalmologic Surgery Clinic/Center
  • Hattiesburg, MS
  • NPI 1073791158
  NPD
• Hattiesburg Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Hattiesburg, MS
  • NPI 1265564041
  NPD (past)
• QHG of Hattiesburg Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Hattiesburg, MS
  • NPI 1326032400
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Magee Benevolent Association

  • General Acute Care Hospital
  • Magee, MS
  • NPI 1679553994

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1720183668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-579-5463",
            "fax_number": "601-579-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-261-3606",
            "fax_number": "601-579-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JOHN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R785358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126187",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Davis Weldy, R.N.
• Cameron Wells
• Cathryne E Wells, SLP
• Emily Wells
• Jeremy Blake Wells, M.D.
• Joseph Kyle Wells, CRNA
• Maria Wells, FNP
• Rokeshia Wells, LMFT
• Wesley Health System LLC
• Wesley Health System LLC

• All providers in Hattiesburg, MS
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.