Active NPI
Callie M Wells, APRN
- Family Nurse Practitioner
- Cadiz, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3005147
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100018290 | Medicaid | KY |
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
Enrollment records 1
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
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
- Mercy Health - Lourdes Hospital
- Jennie Stuart Medical Center
- Baptist Health Paducah
- Murray-Calloway County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11713 | TN | MD | Anesthesiology Physician |
| 5147P | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Deaconess Medical Group Inc | Current | Accepting new patients | |
| Trigg County Hospital, Inc | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Family | Current | Accepting new patients |
| Trigg County Hospital, Inc | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Family | Current | Accepting new patients |
| Brock Medical, LLC | Current | Accepting new patients | |
| Don L Perkins, MD, Inc | Past | 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.
-
- Internal Medicine Physician
- Madisonville, KY
- NPI 1437730942
Family
-
- Nurse Practitioner
- London, KY
- NPI 1023379815
-
- Critical Access Hospital
- Cadiz, KY
- NPI 1538218680
-
- Multi-Specialty Clinic/Center
- Hopkinsville, KY
- NPI 1689261422
-
- Rural Health Clinic/Center
- Madisonville, KY
- NPI 1497339667
-
- Hospitalist Physician
- Madisonville, KY
- NPI 1972320430
Family
-
- Rural Health Clinic/Center
- Corbin, KY
- NPI 1669256913
-
- Rural Health Clinic/Center
- Cadiz, KY
- NPI 1669103347
-
- Family Medicine Physician
- Hopkinsville, KY
- NPI 1881827848
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Madisonville, KY
- NPI 1447231956
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
-
- General Acute Care Hospital
- Hopkinsville, KY
- NPI 1235139312
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
-
- General Acute Care Hospital
- Murray, KY
- NPI 1073504981
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.