Individual provider Active NPI

Mary Elizabeth Wells, MSN, FNP

  • Family Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1932175486
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002050A Issued in IN
Practice address
122 Wheatridge Rd
Valparaiso, IN 46385-6089
Phone
(219) 252-1978
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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 71002050A IN Primary

Addresses

Primary practice location

122 Wheatridge Rd
Valparaiso, IN 46385-6089

Mailing address

122 Wheatridge Rd
Valparaiso, IN 46385-6089
Phone (219) 252-1978

Other practice location 1

2400 Morthland Dr
Valparaiso, IN 46383-8329
Phone (800) 635-5516

Other identifiers 1

IdentifierTypeStateIssuer
71002050AOtherINNURSE PRACTITIONER LICENS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mwells83033@Direct.FranciscanAlliance.org Direct
Direct Messaging Address mwells83033@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20060323000047 IN Practitioner - Nurse Practitioner 0840208518

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1040 Sierra Dr
Suite 400
Greenwood, IN 46143-7241

1500 S Lake Park Ave
Hobart, IN 46342-6638

3303 S Meridian Ave
Oklahoma City, OK 73119-1026

5121 Maryland Way
Brentwood, TN 37027-7516

5565 Centerview Dr
Raleigh, NC 27606-3563

7725 W Reno Ave
Suite 150
Oklahoma City, OK 73127-9712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group, Inc. Past Accepting new patients
Beacon Medical Group, Inc. Family Past Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mwells83033@direct.franciscanalliance.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1932175486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WHEATRIDGE RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463856089",
            "telephone_number": "219-252-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WHEATRIDGE RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463856089",
            "telephone_number": "219-252-1978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Morthland Dr",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463838329",
            "country_code": "US",
            "telephone_number": "800-635-5516",
            "fax_number": "219-464-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002050A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENS",
            "identifier": "71002050A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwells83033@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8345 Wicker Ave",
            "city": "Saint John",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463738879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwells83033@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2307 LaPorte Ave Ste 8",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463836997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.