Individual provider Active NPI

Jama R Wells, PA-C

  • Physician Assistant
  • Evansville, IN
National Provider Identifier
1972570786
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000631A Issued in IN
Practice address
3700 Washington Ave # 2200
Evansville, IN 47714-0541
Phone
(812) 485-7111
NPI assigned
Mar 1, 2006
Last updated
May 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000631A IN Primary
Physician Assistant 363A00000X PA741 KY

Addresses

Primary practice location

3700 Washington Ave # 2200
Evansville, IN 47714-0541

Mailing address

3700 Washington Ave # 2200
Evansville, IN 47714-0541

Other practice location 1

2000 N Elm St # 2
Henderson, KY 42420-2385
Phone (270) 831-6651

Other identifiers 2

IdentifierTypeStateIssuer
000000367928OtherKYANTHEM BC & BS
95004057MedicaidKY

Other names 1

  • Jama W Arnett Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jama.arnett.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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
I20040513000755 IN Practitioner - Physician Assistant 3072503978 Reassigns benefits to 1 organization
I20050630000757 KY Practitioner - Physician Assistant 3072503978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

2000 N Elm St
Suite 2
Henderson, KY 42420-2385
Phone (270) 831-6651

2012 N Elm St a
Henderson, KY 42420-2302
Phone (270) 831-6651

3700 Washington Ave
Evansville, IN 47714-0541

801 Saint Marys Dr
505E
Evansville, IN 47714-0528
Phone (812) 491-3236

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10000631AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, LLC Physician Assistant CurrentSince Feb 25, 2014 Accepting new patients
Primary Physicians Network LLC Physician Assistant Current Accepting new patients
St. Mary's Physician Network LLC. Physician Assistant CurrentSince May 22, 2022 Accepting new patients
Women's Health Care, PC Past Accepting new patients
St Vincent Physician Services Hospital and Health Care Center PastSince May 22, 2022 Accepting new patients
St. Mary's Health, Inc Past Accepting new patients

Locations

1400 Professional Blvd
Ste 210
Evansville, IN 47714

3700 Washington Ave
#2200
Evansville, IN 47714
Phone (812) 485-7111

3700 Washington Ave
Ste 2200
Evansville, IN 47714
Phone (812) 485-7111

5320 Weston Rd
Evansville, IN 47712
Phone (812) 428-2273

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

7839 S Professional Dr
Fort Branch, IN 47648
Phone (812) 753-5903

2000 N Elm St
#2
Henderson, KY 42420
Phone (270) 831-6651

323 S Jefferson St
Ste D
Princeton, KY 42445
Phone (270) 365-4505

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Breckinridge PlaceMorganfield, KY, CCN 185465 Skilled nursing facility Corporate Officer Jan 1, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1972570786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE # 2200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE # 2200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140541",
            "telephone_number": "812-485-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 N Elm St # 2",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424202385",
            "country_code": "US",
            "telephone_number": "270-831-6651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JAMA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000631A",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA741",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC & BS",
            "identifier": "000000367928",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95004057",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jama.arnett.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "3700 Washington Ave # 2200",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAMA",
            "last_name": "ARNETT",
            "middle_name": "W",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.