STEPHANIE MARIE WELLS (NP) – Nurse Practitioner, NPI 1104918200

STEPHANIE MARIE WELLS (NP) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 135621 (GA). The NPI Number for STEPHANIE MARIE WELLS (NP) is 1104918200

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE MARIE WELLS (NP)
NPI
1104918200
Phone
(404) 605-2800
Address
1968 PEACHTREE RD NW
Enumeration Date
28 September 2006
Last Update Date
31 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4046052800
Graduation Year
2003 (23 years ago)
PAC ID
0547211161
Group Practice PAC ID
1759543176
Professional Enrollment ID
I20050201000561
Address ID
GA303091281AT1968XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for STEPHANIE MARIE WELLS (NP)

  • 1968 PEACHTREE RD NW

    ATLANTA, GA 303091281

    Phone: (404) 605-2800

    Type: Location

  • 550 Peachtree St NE

    Atlanta, GA 303082247

    Phone: (404) 686-3845

    Fax: (404) 686-4332

    Type: Location

  • Emory University Hospital Midtown, 550, Peachtree Street Northeast, Atlanta, Georgia, 30308, United States

    ATLANTA, GA 303082247

    Phone: (404) 686-3845

    Fax: (404) 686-4332

    Type: Location

  • Hospital Annex, 531, Asbury Circle, Emory Highlands, Druid Hills, Atlanta, DeKalb County, Georgia, 30322, United States

    SUITE N340

    ATLANTA, GA 303220001

    Phone: (404) 778-5975

    Fax: (404) 778-2630

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050201000561INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30309)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759543176View full group profile
NameSpecialtyState
Emergency MedicineGA
Physician AssistantGA
Emergency MedicineGA
Emergency MedicinePA
Nurse PractitionerGA
Nurse PractitionerGA
Emergency MedicinePA
Emergency MedicineGA
Emergency MedicineGA
Emergency MedicineGA

Reviews

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Frequently asked questions

Can I cross-check STEPHANIE MARIE WELLS (NP) using NPI 1104918200?
NPI 1104918200 belongs to STEPHANIE MARIE WELLS (NP); compare other details if you need extra assurance.
Would STEPHANIE MARIE WELLS (NP) appear as active to a payer?
You can treat STEPHANIE MARIE WELLS (NP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe STEPHANIE MARIE WELLS (NP)'s focus?
For STEPHANIE MARIE WELLS (NP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is STEPHANIE MARIE WELLS (NP) located near Atlanta?
STEPHANIE MARIE WELLS (NP) currently maps to Atlanta, Georgia in this extract.
When was this NPI issued?
Enumeration for STEPHANIE MARIE WELLS (NP) is noted as September 28, 2006 where the registry provides it.

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