COURTENAY A WELLS (RN, FWP) – Family Nurse Practitioner, NPI 1093824815
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for COURTENAY A WELLS (RN, FWP)
3774 BAYLEY DR STE A
LAFAYETTE, IN 479058654
Phone: (765) 807-8200
Fax: (765) 446-5155
Type: Location
203 N Division St
Flora, IN 469291024
Phone: (765) 449-3900
Fax: (765) 449-3901
Type: Location
3806 AMELIA AVE STE 2
LAFAYETTE, IN 479055772
Phone: (765) 449-3900
Fax: (765) 449-3901
Type: Location
Lafayette Post Office, 99, Chauncy Street, Downtown Crossing, Downtown Boston, Boston, Suffolk County, Massachusetts, 02111, United States
LAFAYETTE, IN 479034699
Phone: (765) 449-2732
Fax: (765) 449-1196
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $72.
Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.
Last reported payment date: 2024-09-08 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($28).
Total Amount
$72
General + Research + Ownership
Payments
3
Total payment records
General Amount
$72
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-08
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2012-10-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121004000592 | I | Nurse Practitioner | IN | TBD |
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.
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 47905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | IN | |
| - | IN | |
| Physician Assistant | IN | |
| - | IN | |
| Physical Therapist In Private Practice | IN | |
| - | IN | |
| - | IN | |
| G A S T R O E N T E R O L O G Y | IN | |
| Physical Therapist In Private Practice | IN | |
| A L L E R G Y/ I M M U N O L O G Y | IN |
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