Active NPI
Wellstar Nursing Corporation
Doing business as Prime Wellness Advanced Wound Care
- Nurse Practitioner
- Hemet, CA
National Provider Identifier
1902702962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- WELLSTAR NURSING CORPORATION
- Doing business as
- Prime Wellness Advanced Wound Care
- Practice address
- 261 Mistyblue CT
Hemet, CA 92543-8406 - Phone
- (909) 353-0117
- NPI assigned
- Oct 16, 2026
- Last updated
- Oct 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Nwabuobi
- Title
- Owner
- Phone
- (909) 353-0117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
261 Mistyblue CT
Hemet, CA 92543-8406
Mailing address
261 Mistyblue CT
Hemet, CA 92543-8406
Other names 1
- Prime Wellness Advanced Wound Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792108800000",
"number": "1902702962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 MISTYBLUE CT",
"city": "HEMET",
"state": "CA",
"postal_code": "925438406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 MISTYBLUE CT",
"city": "HEMET",
"state": "CA",
"postal_code": "925438406",
"telephone_number": "909-353-0117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSTAR NURSING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-16",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A",
"authorized_official_last_name": "NWABUOBI",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-353-0117"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prime Wellness Advanced Wound Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.