Wellcare Services, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

900401 Issued in NC

Legal business name

WELLCARE SERVICES, PLLC

Practice address

215 Kinlaw Rd
Fayetteville, NC 28311-1431

Phone

(919) 588-1998

Fax

(888) 987-4108

NPI assigned

May 29, 2013

Last updated

Nov 10, 2022By 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

Jacklynn H Taglione

Title

Business Office Manager

Phone

(919) 588-1998

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

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.

• Christine Irons-Yeager, NP-C

  • Family Nurse Practitioner
  • Durham, NC
  • NPI 1982228714
  Medicare reassignment Care Compare group NPD
• Reagan L Ivey, NP

  • Primary Care Nurse Practitioner
  • Fayetteville, NC
  • NPI 1164414538
  Medicare reassignment Care Compare group
• Timothy Beittel, MD

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1669464111
  Medicare reassignment NPD
• Mandy Lynne Salvail

  • Nurse Practitioner
  • Fayetteville, NC
  • NPI 1588525133
  NPD

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1740627835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 KINLAW RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111431",
            "telephone_number": "919-588-1998",
            "fax_number": "888-987-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 KINLAW RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111431",
            "telephone_number": "919-588-1998",
            "fax_number": "888-987-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "TAGLIONE",
        "authorized_official_first_name": "JACKLYNN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "919-588-1998"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "900401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170627835",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin H Weinrauch, M.D.
• Grace Ann Weis
• Jermaine Welch
• Erin Welden, PA-C
• Well Point Urgent Care and Family Clinic Inc
• Wellness Clinical Services, PLLC
• Shaquala Wells-Francis
• Gloria Shadell Wells, LCMHC
• Iasia Wells
• Laura Rose Wells, PA-C

• Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.