CMS NPPES uses NUCC taxonomy code 363LA2200X for provider records classified as Adult Health within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered,...
Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare,
retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.
Medicare specialties
Nurse Practitioner
Largest Medicare group
666 members
Largest listed enrollment group
Facility affiliations reported by CMS
Wellmed Medical Group PA
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
View the CMS dataset →
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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