Active NPI
Brianne Wells
- Physician Assistant
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3868
- Practice address
- 601 Benton Ave
Nashville, TN 37204 - Phone
- (615) 292-9770
- Fax
- (615) 292-9706
- NPI assigned
- Nov 18, 2014
- Last updated
- Nov 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3868 | TN | Primary |
| Medical Physician Assistant | 363AM0700X | 3868 | TN |
Addresses
Primary practice location
601 Benton Ave
Nashville, TN 37204
Mailing address
601 Benton Ave
Nashville, TN 37204-2303
Other practice location 1
2637 Murfreesboro Pike
Nashville, TN 37217-3505
Phone (615) 292-9770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q052485 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5225 Old Hickory Blvd
Suite 205
Hermitage, TN 37076-2595
Phone (615) 938-7190
601 Benton Ave
Nashville, TN 37204-2303
Phone (615) 932-7631
620 S Mount Juliet Rd
Mt Juliet, TN 37122-6486
Phone (615) 541-4545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 2
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.
-
- Community Health Clinic/Center
- Nashville, TN
- NPI 1275634818
-
- Urgent Care Clinic/Center
- Antioch, TN
- NPI 1477087658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1780080820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 BENTON AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372042303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 BENTON AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37204",
"telephone_number": "615-292-9770",
"fax_number": "615-292-9706"
}
],
"practiceLocations": [
{
"address_1": "2637 Murfreesboro Pike",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372173505",
"country_code": "US",
"telephone_number": "615-292-9770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLS",
"first_name": "BRIANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-18",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "3868",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "3868",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q052485",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.