Individual provider Active NPI

Erin B Wells, APRN

  • Family Nurse Practitioner
  • Hyden, KY
National Provider Identifier
1982958609
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007769 Issued in KY
Practice address
21154 Highway 421 # 1
Hyden, KY 41749-8553
Phone
(606) 672-1208
NPI assigned
Nov 2, 2012
Last updated
Jan 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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 3007769 KY Primary

Addresses

Primary practice location

21154 Highway 421 # 1
Hyden, KY 41749-8553

Mailing address

1019 Cumberland Falls Hwy
Suite B201
Corbin, KY 40701-2735
Phone (606) 526-9005

Other identifiers 1

IdentifierTypeStateIssuer
7100232220MedicaidKY

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
I20130226000112 KY Practitioner - Nurse Practitioner 4385899251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

21154 Hwy 421
Hyden, KY 41749-8553
Phone (606) 672-1208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3007769KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Community Health Center, Inc. CurrentSince Dec 10, 2012 Accepting new patients
Grace Community Health Center Inc Family CurrentSince Dec 10, 2012 Accepting new patients
Grace Community Health Center, Inc. Current Accepting new patients
Grace Community Health Center Inc Family PastSince Dec 15, 2019 Accepting new patients

Locations (25 of 34)

100 Panther Way
Barbourville, KY 40906
Phone (606) 546-9253

1000 Ky 3439
Barbourville, KY 40906
Phone (606) 546-3496

210 Wall St
Barbourville, KY 40906
Phone (606) 546-5320

220 N Allison Ave
Barbourville, KY 40906
Phone (606) 546-6524

311 N Main St
Barbourville, KY 40906
Phone (606) 545-5267

60 Ky 3441
Barbourville, KY 40906
Phone (606) 546-4169

1019 Cumberland Falls Hwy
Ste B201
Corbin, KY 40701

14662 N US Highway 25 E
Corbin, KY 40701
Phone (606) 526-9005

1901 Snyder St
Corbin, KY 40701
Phone (606) 528-3902

200 W 8th St
Corbin, KY 40701
Phone (606) 523-3619

3551 5th Street Rd
Corbin, KY 40701
Phone (606) 595-8631

366 N Ky 830
Corbin, KY 40701
Phone (606) 523-1814

50 Ed McNeel Dr
Corbin, KY 40701
Phone (606) 523-3619

614 Master St
Corbin, KY 40701
Phone (606) 595-8742

706 S Kentucky Ave
Corbin, KY 40701
Phone (606) 595-0117

901 S Main St
Corbin, KY 40701
Phone (606) 595-8610

110 Ky 3085
Flat Lick, KY 40935
Phone (606) 542-4169

5452 N Ky 11
Girdler, KY 40943
Phone (606) 546-4859

39 Cumberland Gap Plz
Gray, KY 40734
Phone (606) 526-9005

21154 Highway 421
Hyden, KY 41749
Phone (606) 672-1208

21154 Highway 421
#1
Hyden, KY 41749
Phone (606) 672-1208

21154 Highway 421
Ste 1
Hyden, KY 41749

272 London Mountain View Dr
London, KY 40741
Phone (606) 231-2614

934 S Laurel Rd
Ste 1
London, KY 40744
Phone (606) 526-8604

364 Highway 1524
Manchester, KY 40962
Phone 60659610963446

Interoperability endpoints

  • Direct secure messaging: ewells704244@direct.ochin.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1982958609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 CUMBERLAND FALLS HWY",
            "address_2": "SUITE B201",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012735",
            "telephone_number": "606-526-9005",
            "fax_number": "606-526-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21154 HIGHWAY 421 # 1",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "417498553",
            "telephone_number": "606-672-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ERIN",
        "middle_name": "B",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100232220",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyden, KY

Sources for this page

Verify at the official NPI Registry.