Active NPI
Mary Elizabeth Wells, MSN, FNP
- Family Nurse Practitioner
- Valparaiso, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71002050A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71002050A | Other | IN | NURSE PRACTITIONER LICENS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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
- 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.
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Family Medicine Physician
- South Bend, IN
- NPI 1124079330
-
- Family Medicine Physician
- La Porte, IN
- NPI 1639129117
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.