NPIMap

Individual provider Active NPI

Chelsea Wells, FNP

  • Family Nurse Practitioner
  • Belmont, MS
National Provider Identifier
1861914699
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902122 Issued in MS
Practice address
26 3Rd St
Belmont, MS 38827-7737
Phone
(662) 454-4520
Fax
(662) 454-4521
NPI assigned
Jul 13, 2017
Last updated
Oct 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902122 MS Primary

Addresses

Primary practice location

26 3Rd St
Belmont, MS 38827-7737

Mailing address

450 E President Ave
Tupelo, MS 38801-5599
Phone (662) 377-4685

Other identifiers 1

IdentifierTypeStateIssuer
09602869MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170805000125 MS Practitioner - Nurse Practitioner 6103197348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tishomingo Health Services, Inc.Group PAC ID 2466354303, 25 clinicians

Practice addresses (Care Compare)

26 3Rd St
Belmont, MS 38827-7737
Phone (662) 454-4520

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc Family Current Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Jul 13, 2017 Accepting new patients
Tishomingo Health Services, Inc. CurrentSince May 1, 2019 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Tishomingo Health Services, Inc. Current Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Jul 13, 2017 Accepting new patients
Tishomingo Health Services, Inc. CurrentSince May 1, 2019 Accepting new patients

Locations

26 3rd St
Belmont, MS 38827
Phone (662) 454-4520

1771 Curtis Dr
Iuka, MS 38852
Phone (662) 423-6014

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

Interoperability endpoints

  • Direct secure messaging: chelseawells@nmhs.medalliesdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1861914699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E PRESIDENT AVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015599",
            "telephone_number": "662-377-4685",
            "fax_number": "662-377-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 3RD ST",
            "city": "BELMONT",
            "state": "MS",
            "postal_code": "388277737",
            "telephone_number": "662-454-4520",
            "fax_number": "662-454-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "CHELSEA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09602869",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MS

Sources for this page

Verify at the official NPI Registry.