Individual provider Active NPI

Samantha Wells, FNP-BC

  • Orthopaedic Surgery Physician
  • Weirton, WV
National Provider Identifier
1932796562
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
107739 Issued in WV
Practice address
651 Colliers Way, Suite 309
Weirton, WV 26062
Phone
(304) 797-6560
NPI assigned
Dec 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 107739 WV Primary

Addresses

Primary practice location

651 Colliers Way, Suite 309
Weirton, WV 26062

Mailing address

651 Colliers Way, Suite 309
Weirton, WV 26062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211020001647 WV Practitioner - Nurse Practitioner 0446648646 Reassigns benefits to 1 organization
I20260331002861 OH Practitioner - Nurse Practitioner 0446648646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WMC Physician Practices LLCGroup PAC ID 0244466753, 112 clinicians

Practice addresses (Care Compare)

2315 Sunset Blvd
Suite C
Steubenville, OH 43952-2496
Phone (740) 266-9411

651 Colliers Way
Weirton, WV 26062-5053
Phone (304) 797-6557

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.84 of 100Reported as group
Quality
35.62
Promoting interoperability
96
Improvement activities
40
Cost
70.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107739WVMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WMC Physician Practices LLC CurrentSince Jun 19, 2021 Accepting new patients
WMC Physician Practices LLC Orthopaedic Surgery CurrentSince Jun 19, 2021 Accepting new patients

Locations

2315 Sunset Blvd
Ste C
Steubenville, OH 43952
Phone (740) 266-9411

651 Colliers Way
Ste 309
Weirton, WV 26062
Phone (304) 797-6557

651 Colliers Way
Ste 300
Weirton, WV 26062
Phone (304) 797-6404

651 Colliers Way
Weirton, WV 26062
Phone (304) 723-3007

651 Colliers Way
Ste 207
Weirton, WV 26062
Phone (304) 797-6433

Organizations & group practices 2

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 1

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": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1932796562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY, SUITE 309",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "26062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY, SUITE 309",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "304-797-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "SAMANTHA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "107739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

Verify at the official NPI Registry.