Organization Active NPI

Be Well Medical LLC

  • Family Nurse Practitioner
  • Jenks, OK
National Provider Identifier
1841055472
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BE WELL MEDICAL LLC
Practice address
515 W Aquarium PL Ste 101
Jenks, OK 74037-6801
Phone
(918) 740-4463
Fax
(918) 739-1601
NPI assigned
Feb 13, 2024
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Hannah R Hudgins-Montilla, FNP-CNPI 1629686431
Title
Owner
Phone
(918) 740-4463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

515 W Aquarium PL Ste 101
Jenks, OK 74037-6801

Mailing address

515 W Aquarium PL Ste 101
Jenks, OK 74037-6801
Phone (918) 740-4463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240227002227 OK Part B Supplier - Clinic/Group Practice 2163867417 Receives reassigned benefits from 1 practitioner
Practice locations: Jenks, OK

National Provider Directory

National Provider Directory

Locations

207 E Main St
Ste 101
Jenks, OK 74037
Phone (918) 740-4463

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1841055472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W AQUARIUM PL STE 101",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740376801",
            "telephone_number": "918-740-4463",
            "fax_number": "918-739-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W AQUARIUM PL STE 101",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740376801",
            "telephone_number": "918-740-4463",
            "fax_number": "918-739-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "HUDGINS-MONTILLA",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-740-4463",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.