Wells Medical | |
1055 S Wells Ave Reno NV 89502-2550 | |
(775) 829-6300 | |
(775) 348-3896 |
Full Name | Wells Medical |
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Speciality | Clinic/Center |
Location | 1055 S Wells Ave, Reno, Nevada |
Authorized Official Name and Position | Jennifer Wheeler (CCO) |
Authorized Official Contact | 7753296300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wells Medical 680 S Rock Blvd Reno NV 89502-4113 Ph: (775) 336-3003 | Wells Medical 1055 S Wells Ave Reno NV 89502-2550 Ph: (775) 829-6300 |
NPI Number | 1326162710 |
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Provider Enumeration Date | 03/19/2007 |
Last Update Date | 01/25/2024 |
Medicare PECOS PAC ID | 3577540160 |
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Medicare Enrollment ID | O20040701000827 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326162710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Brooke Walker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619012499 PECOS PAC ID: 7214070499 Enrollment ID: I20100420000180 |
Provider Name | Peggy Eleanor Kamper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750495305 PECOS PAC ID: 9931233087 Enrollment ID: I20100811001013 |
Provider Name | Julie Elise Xeras |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003241712 PECOS PAC ID: 6709012545 Enrollment ID: I20131126001032 |
Provider Name | Christine D Reese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457783292 PECOS PAC ID: 7911079322 Enrollment ID: I20141001002300 |
Provider Name | Danielle Stage |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1255642690 PECOS PAC ID: 1456652585 Enrollment ID: I20151215001917 |
Provider Name | Carie Ann Wright |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1649718446 PECOS PAC ID: 3476820150 Enrollment ID: I20170531000857 |
Provider Name | Lynette Marie Rossback |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720487598 PECOS PAC ID: 1759659618 Enrollment ID: I20170616002068 |
Provider Name | Shelinda Dennis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396265385 PECOS PAC ID: 2163780487 Enrollment ID: I20171214001718 |
Provider Name | Travis C Walker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174940092 PECOS PAC ID: 2062737901 Enrollment ID: I20180918003308 |
Provider Name | Jordan Diane Forman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023661048 PECOS PAC ID: 9436481017 Enrollment ID: I20191031001197 |
Provider Name | Stacie M Eliopulos |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962805259 PECOS PAC ID: 6800223900 Enrollment ID: I20200303000394 |
Provider Name | Elizabeth Patricia Belton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770117756 PECOS PAC ID: 0244654028 Enrollment ID: I20200727002487 |
Provider Name | Malina Josephine Ruiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417556705 PECOS PAC ID: 4981014677 Enrollment ID: I20201109002082 |
Provider Name | Carol Tordi |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1649230830 PECOS PAC ID: 6608041504 Enrollment ID: I20210528001126 |
Provider Name | Sarah J Lopez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154852556 PECOS PAC ID: 9739451964 Enrollment ID: I20210715002659 |
Provider Name | Maria S Fernandez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710475538 PECOS PAC ID: 1850635152 Enrollment ID: I20210803001708 |
Provider Name | Seana Rae Wishart-ng |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609494285 PECOS PAC ID: 0941606156 Enrollment ID: I20210913002442 |
Provider Name | Aaron Fischer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659943728 PECOS PAC ID: 7719375096 Enrollment ID: I20211020000690 |
Provider Name | Christine Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508519810 PECOS PAC ID: 6901290451 Enrollment ID: I20220225001101 |
Provider Name | Kelly Marie Dawley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871164541 PECOS PAC ID: 4587030879 Enrollment ID: I20221011001555 |
Provider Name | Elizabeth Jean Sauter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356075998 PECOS PAC ID: 1456721513 Enrollment ID: I20230105002299 |
Provider Name | Rey Agatep |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1174936207 PECOS PAC ID: 4981074879 Enrollment ID: I20230111000920 |
Provider Name | Ana Maria Victoria |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497315691 PECOS PAC ID: 8921462672 Enrollment ID: I20230913002351 |
Provider Name | Natalie Nessler |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1629604673 PECOS PAC ID: 6507236742 Enrollment ID: I20230926000947 |
Provider Name | Amanda Karly Wishart |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861032856 PECOS PAC ID: 4981059334 Enrollment ID: I20231005000415 |
Provider Name | Jenae Christensen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700568151 PECOS PAC ID: 9638525793 Enrollment ID: I20231025001908 |
Provider Name | Esmeralda Ozuna Diaz |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538701966 PECOS PAC ID: 9537515291 Enrollment ID: I20231101000879 |
Provider Name | Andrea Samantha Lozano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669153953 PECOS PAC ID: 3870940851 Enrollment ID: I20231113003059 |
Provider Name | Amanda Kay Kirby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205561420 PECOS PAC ID: 8022465780 Enrollment ID: I20231117000514 |
Provider Name | Dylan Greenblat |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437787785 PECOS PAC ID: 3274946017 Enrollment ID: I20231201002234 |
Provider Name | Laura Popko |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285077529 PECOS PAC ID: 8921240904 Enrollment ID: I20231201002695 |
Provider Name | Diana Tabares- Avila |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306352984 PECOS PAC ID: 8426407131 Enrollment ID: I20231206003354 |
Provider Name | Marie Gracia Bare |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609556406 PECOS PAC ID: 2365891090 Enrollment ID: I20231206004304 |
Provider Name | Lauren A Mccarthy |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1184140873 PECOS PAC ID: 8224480306 Enrollment ID: I20240115001478 |
Provider Name | Riley Henderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811777089 PECOS PAC ID: 8527411255 Enrollment ID: I20240130001602 |
Provider Name | Paul Reese Nevis |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821701202 PECOS PAC ID: 5193160364 Enrollment ID: I20240227003327 |
Provider Name | Kathleen Carol Clifford |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1134429624 PECOS PAC ID: 3274979711 Enrollment ID: I20240307000460 |
Provider Name | Lyndsey Rae Pitman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780452771 PECOS PAC ID: 5991142705 Enrollment ID: I20240327004183 |
Provider Name | Lori Connell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134985104 PECOS PAC ID: 1951743947 Enrollment ID: I20240522001522 |
Provider Name | Stephanie Gstettenbauer |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1740615202 PECOS PAC ID: 3577833532 Enrollment ID: I20240605002581 |
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