Individual provider Active NPI

Callie M Wells, APRN

  • Family Nurse Practitioner
  • Cadiz, KY
National Provider Identifier
1851470496
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3005147 Issued in KY
Practice address
214 Main St
Cadiz, KY 42211-9153
Phone
(270) 522-0898
Fax
(270) 522-6647
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3005147 KY Primary
Family Nurse Practitioner 363LF0000X 5147P KY

Addresses

Primary practice location

214 Main St
Cadiz, KY 42211-9153

Mailing address

PO Box 1724
Cadiz, KY 42211-1724
Phone (270) 522-0898

Other identifiers 1

IdentifierTypeStateIssuer
7100018290MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140922001505 KY Practitioner - Nurse Practitioner 6507961596 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Deaconess Medical Group IncGroup PAC ID 6103220330, 241 clinicians

Practice addresses (Care Compare)

200 Clinic Dr
Madisonville, KY 42431-1661

800 Hospital Dr
Madisonville, KY 42431-1658

Hospital & facility affiliations

  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
  • Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051
  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
  • Murray-Calloway County Hospital Hospital, Murray, KY, CCN 180027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11713TNMDAnesthesiology Physician
5147PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Deaconess Medical Group Inc CurrentSince Nov 1, 2023 Accepting new patients
Trigg County Hospital, Inc CurrentSince May 9, 2015 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Jan 2, 2018 Accepting new patients
Baptist Health Deaconess Medical Group Inc Family Current Accepting new patients
Trigg County Hospital, Inc CurrentSince May 9, 2015 Accepting new patients
Baptist Health Deaconess Medical Group Inc Family CurrentSince Nov 1, 2023 Accepting new patients
Brock Medical, LLC CurrentSince Jan 2, 2018 Accepting new patients
Don L Perkins, MD, Inc PastSince May 1, 2010 Accepting new patients

Locations

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

214 Main St
Cadiz, KY 42211
Phone (270) 522-0898

230 N Green St
Henderson, KY 42420
Phone (270) 854-3196

2955 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 348-3677

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

200 Clinic Dr
Fl 1
Madisonville, KY 42431
Phone (270) 825-6680

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

200 Clinic Dr
Fl 4
Madisonville, KY 42431
Phone (270) 825-7356

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1851470496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1724",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422111724",
            "telephone_number": "270-522-0898",
            "fax_number": "270-522-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MAIN ST",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119153",
            "telephone_number": "270-522-0898",
            "fax_number": "270-522-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "CALLIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005147",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "5147P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100018290",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadiz, KY

Sources for this page

Verify at the official NPI Registry.