JEREMY SCOTT WELLS (NPI# 1124658422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124658422 |
| Entity Type | Individual |
| Full Name | JEREMY SCOTT WELLS |
| Credential | APNP |
| Practice Address |
1506 S Oneida St Appleton WI 54915-1305 |
| Mailing Address |
1101 W Willis Way Appleton WI 54913-7679 |
| Practice Telephone | 9207382100 |
| Mailing Telephone | 3047856706 |
| Enumeration Date | 2020-01-25 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
167477 | WI | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 9985-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861879181 | Jeremy Wells | Community Health Worker | 1001 Potrero Avenue 6b, San Francisco, CA 94110 | 2015-05-06 |
| 1982167342 | Jeremy David Wells | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2019-04-11 |
| 1982119111 | Jeremy Lee Wells | Counselor | 132 Cass Ave, Mount Clemens, MI 48043-2230 | 2017-12-11 |
| 1215448436 | Jeremy Wells | Pharmacist | 1030 W 21st St, South Sioux City, NE 68776-2661 | 2017-10-15 |
| 1114470580 | Jeremy Mantle Wells | Dentist | 49th Medical Group/sgpd, 280 First Street, Bldg 23, Holloman Afb, NM 88330-8273 | 2016-08-02 |
| 1144517822 | Jeremy Blake Wells | Family Medicine | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2011-07-01 |
| 1164694881 | Jeremy B. Wells | Anesthesiology | 1740 Nicholasville Rd, Lexington, KY 40503-1431 | 2008-04-02 |
| 1285831677 | Jeremy Clady Wells | Internal Medicine | 1303 Dantignac St Ste 1000, Augusta, GA 30901-2776 | 2007-06-28 |
| Street Address |
1506 S ONEIDA ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205828654 | Gladys Beth Michaelson | Registered Nurse | 1506 S Oneida St, Appleton, WI 54915-1305 | 2005-08-19 |
| 1184249773 | Allison Nierode | Student in an Organized Health Care Education/Training Program | 1506 S Oneida St, Appleton, WI 54915-1305 | 2020-06-10 |
| 1700401429 | Amanda Sue Mansfield | Occupational Therapy Assistant | 1506 S Oneida St, Appleton, WI 54915-1305 | 2020-06-09 |
| 1063044782 | Rebecca Ann Kloehn | Nurse Practitioner | 1506 S Oneida St, Appleton, WI 54915-1305 | 2020-02-11 |
| 1477104388 | Hitomi Gunsolley | Psychologist | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-09-23 |
| 1861045957 | Brianna M Montano | Counselor | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-07-18 |
| 1902458177 | Kelsey Gregory | Nurse Practitioner | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-07-09 |
| 1700442100 | Maija K West | Occupational Therapist | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-05-13 |
| 1750947263 | Samuel Markert | Nurse Practitioner | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-05-10 |
| 1619532157 | Jamie A Lingnofski | Occupational Therapy Assistant | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477070308 | Tamara Marie A Marshall | Nurse Practitioner | 5605 W Waterford Ln, Appleton, WI 54913-8438 | 2017-08-22 |
| 1871748418 | Tammy E Weyenberg | Nurse Practitioner | 3962 N Richmond St, Appleton, WI 54913-7153 | 2008-11-24 |
| 1396802823 | Ellen Pitsch | Nurse Practitioner | 2809 N. Park Drive Lane, Appleton, WI 54911 | 2007-01-03 |
| 1629024823 | Deborah S Colon | Nurse Practitioner | 30 S Behl St, Appleton, MN 56208-1616 | 2006-05-26 |
| 1871541342 | Kimberly Williams | Nurse Practitioner | 1616 N Casaloma Dr Ste 100, Appleton, WI 54913-8245 | 2006-05-05 |
| 1659363778 | Pam E Verkuilen | Nurse Practitioner | 5320 W Michaels Drive, Appleton, WI 54913 | 2005-08-16 |
| 1053918524 | Nicole Anne Vannoie | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-10-07 |
| 1306454053 | Samantha L Thiede | Nurse Practitioner | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-07-20 |
| 1215556824 | Cheryl E Christensen | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-04-14 |
| 1902467731 | Danielle L Leick | Nurse Practitioner | 1818 N Meade St, Appleton, WI 54911-3454 | 2019-06-24 |
| Find all providers in APPLETON | ||||
Please comment or provide details below to improve the information on JEREMY SCOTT WELLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.