Active NPI
Catherine C. Wells, NP
- Nurse Practitioner
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R857433
- Practice address
- 2500 North State Street
Department of Medicine Division of Nephrology
Jackson, MS 39216-4500 - Phone
- (601) 984-5687
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 26
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.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
MS
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Rural Health Clinic/Center
- West, MS
- NPI 1194738393
-
- General Acute Care Hospital
- Canton, MS
- NPI 1194770404
-
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1225800428
-
- Clinic/Center
- Jackson, MS
- NPI 1245818301
-
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1295507333
-
- Medicare Defined Swing Bed Hospital Unit
- Canton, MS
- NPI 1326075193
-
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1336911536
-
- Critical Access Hospital
- Lexington, MS
- NPI 1386630705
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jackson, MS
- NPI 1477734689
-
- Rural Health Clinic/Center
- Lexington, MS
- NPI 1538179585
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jackson, MS
- NPI 1194930693
Dialysis facility
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Mississippi - University of Mississippi Medical Center
Practice addresses (Care Compare)
2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-4775
Hospital & facility affiliations
- Medical Mall Dialysis
- University of Mississippi Med Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040303000468 | MS | Practitioner - Nurse Practitioner | 2668369786 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R857433 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| University Surgery Associates, PLLC | Past | Accepting new patients | |
| University Internal Medicine Assoc LLP | Past | Accepting new patients | |
| University Radiation Oncology Consultants, PLLC | Past | Accepting new patients |
Locations
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775
239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321
Interoperability endpoints
- cwells8205@ummc.direct-ci.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | R857433 | MS | |
| Nurse Practitioner | 363L00000X | R857433 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2500 North State Street
Department of Medicine Division of Nephrology
Jackson, MS 39216-4500
Mailing address
2500 North State Street
Dept of Medicine
Jackson, MS 39216-4500
Phone (601) 984-5687
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01648524 | Other | MS | RAILROAD MEDICARE PTAN |
| 01057053 | Medicaid | MS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 29, 2016.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1841365152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 NORTH STATE STREET",
"address_2": "DEPT OF MEDICINE",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5687",
"fax_number": "601-984-5765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NORTH STATE STREET",
"address_2": "DEPARTMENT OF MEDICINE DIVISION OF NEPHROLOGY",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "CATHERINE",
"middle_name": "C.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MS",
"license": "R857433",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R857433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P01648524",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01057053",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.