Wellity, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WELLITY, LLC

Doing business as

Wellity for women

Practice address

5550 S 59TH St Ste 21
Lincoln, NE 68516-2398

Phone

(402) 858-2052

Fax

(402) 817-1743

NPI assigned

Dec 26, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Jane Glade, DNP, APRNNPI 1538354907

Title

Manager

Phone

(402) 416-1632

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Wellity for women Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE

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.

• Mary Jane Glade, APRN

  • Family Nurse Practitioner
  • Lincoln, NE
  • NPI 1538354907
  Medicare reassignment Care Compare group NPD Authorized official
• Taylor Elise Schelstraete Hedgecock, WHNP-BC, DNP

  • Women's Health Nurse Practitioner
  • Lincoln, NE
  • NPI 1003630898
  Medicare reassignment Care Compare group NPD
• Kimberly Anne Messman, OTR/L

  • Occupational Therapist
  • Lincoln, NE
  • NPI 1255629507
  Medicare reassignment Care Compare group NPD
• Bethany D Vitko, OT

  • Occupational Therapist
  • Lincoln, NE
  • NPI 1366998924
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1750094512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 S 59TH ST STE 21",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685162398",
            "telephone_number": "402-416-1632",
            "fax_number": "402-817-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S 59TH ST STE 21",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685162398",
            "telephone_number": "402-858-2052",
            "fax_number": "402-817-1743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8245 Cody Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685129440",
            "country_code": "US",
            "telephone_number": "402-858-2052",
            "fax_number": "402-817-1743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7155 Kentwell Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685166768",
            "country_code": "US",
            "telephone_number": "402-858-2052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-26",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "GLADE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-416-1632",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP, APRN"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10027799200",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.eclinicalworks.com/ecwopendev/",
            "affiliation": "N",
            "address_1": "5550 S 59th St Ste 21",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685162398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wellity for women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Weldon
• Nathaniel Lynn Welker, LAT, ATC
• Well and Wonders Counseling, LLC
• Allison Weller
• Kali Welling
• Carrie Ann Wellman, MA
• Emma Wellman
• Wellmind LLC
• Wellness Pharmacy, Inc
• Wellnessone of Lincoln, Inc.

• Family Nurse Practitioner in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.