Individual provider Active NPI

Jonathan Wells

  • Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1982160859
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3013177 Issued in KY
Practice address
360 W Loudon Ave
Lexington, KY 40508-3729
Phone
(859) 288-2425
Fax
(859) 288-7510
NPI assigned
Feb 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3013177 KY Primary

Addresses

Primary practice location

360 W Loudon Ave
Lexington, KY 40508-3729

Mailing address

496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2425

Other practice location 1

410 Humston Dr
Lawrenceburg, KY 40342-1908
Phone (502) 229-2794

Other identifiers 1

IdentifierTypeStateIssuer
3013177OtherKYKENTUCKY BOARD OF NURSING APRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20190522000881 KY Practitioner - Nurse Practitioner 2769725308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthfirst Bluegrass IncGroup PAC ID 5890961593, 26 clinicians

Practice addresses (Care Compare)

360 W Loudon Ave
Lexington, KY 40508-3729
Phone (859) 288-2425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3013177KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfirst Bluegrass Inc CurrentSince Feb 17, 2025 Accepting new patients
Healthfirst Bluegrass Inc. CurrentSince Feb 17, 2025 Accepting new patients

Locations

576 E Third St
Ste 170
Lexington, KY 40508
Phone (859) 288-2478

496 Southland Dr
Lexington, KY 40503
Phone (859) 288-2392

360 W Loudon Ave
Lexington, KY 40508
Phone (859) 252-7881

1640 Bryan Station Rd
Ste 1
Lexington, KY 40505

1401 Harrodsburg Rd
Ste B165
Lexington, KY 40504
Phone (859) 303-9373

1060 Goodwin Dr
#110
Lexington, KY 40505

Interoperability endpoints

  • Direct secure messaging: jonathan.wells.1@32600.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1982160859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 SOUTHLAND DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031827",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W LOUDON AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405083729",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Humston Dr",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "KY",
            "postal_code": "403421908",
            "country_code": "US",
            "telephone_number": "502-229-2794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-15",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF NURSING APRN LICENSE",
            "identifier": "3013177",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.