NPIMap

Individual provider Active NPI

Samantha Henderson Wells, FNP-C

  • Family Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1871294876
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186719 Issued in VA
Practice address
14051 St Francis Blvd Ste 2210
Midlothian, VA 23114-3203
Phone
(804) 363-3050
NPI assigned
Mar 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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 0024186719 VA Primary

Addresses

Primary practice location

14051 St Francis Blvd Ste 2210
Midlothian, VA 23114-3203

Mailing address

6502 Stuart Ave
Richmond, VA 23226-3022
Phone (804) 363-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230530001538 VA Practitioner - Nurse Practitioner 0345607727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Bon Secours-Richmond Community Hospital LLCGroup PAC ID 3274425459, 40 clinicians

Practice addresses (Care Compare)

5875 Bremo Rd
Suite 209
Richmond, VA 23226-1934
Phone (804) 287-7804

5875 Bremo Rd
Suite 712
Richmond, VA 23226-1928
Phone (804) 288-8900

Hospital & facility affiliations

  • Bon Secours Richmond Community Hospital Hospital, Richmond, VA, CCN 490094
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours-Richmond Community Hospital LLC CurrentSince Apr 24, 2023 Accepting new patients
Bon Secours-Richmond Community Hospital LLC CurrentSince Apr 24, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 17, 2024 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 17, 2024 Accepting new patients
Bon Secours-Richmond Community Hospital LLC Current Accepting new patients

Locations

14051 St Francis Blvd
Ste 2210
Midlothian, VA 23114
Phone (804) 594-3130

5875 Bremo Rd
Ste 209
Richmond, VA 23226
Phone (804) 285-1722

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

5875 Bremo Rd
Ste 712
Richmond, VA 23226
Phone (804) 285-9416

Interoperability endpoints

  • Direct secure messaging: swells1469765@direct.bsmhealth.org

Organizations & group practices 5

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1871294876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 STUART AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263022",
            "telephone_number": "804-363-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14051 ST FRANCIS BLVD STE 2210",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143203",
            "telephone_number": "804-363-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "SAMANTHA",
        "middle_name": "HENDERSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.