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WELL CARE COMMUNITY HEALTH, INC.
NPI 1104538636
Clinic/Center - Federally Qualified Health Center (FQHC) in Austin, IN

Active since December 15, 2022CLIA Certified · 2 labs
25 W MAIN ST, AUSTIN, IN 47102(812) 794-8100(812) 794-8200 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2026, Dec 15, 2022 (2 updates tracked since 2022).

About Well Care Community Health, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELL CARE COMMUNITY HEALTH, INC. (NPI 1104538636), doing business as Foundations Family Medicine, is a healthcare organization registered as a federally qualified health center (fqhc) in Austin, Indiana and active in the NPI registry since December 2022. The organization holds 2 active CLIA laboratory certificates and lists Cathy Sue Jarvis, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1104538636
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWELL CARE COMMUNITY HEALTH, INC.
Location Address25 W MAIN STAustin, IN 47102-1303
Mailing Address2200 W Main StRichmond, IN 47374-3882 · (765) 973-9294 · Fax (765) 973-9233
Phone(812) 794-8100
Fax(812) 794-8200
Organization SubpartNo
Authorized OfficialCathy Sue JarvisRevenue Cycle Manager · (765) 973-9294
Enumeration DateDecember 15, 2022
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1104538636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
25 W MAIN ST, Austin, IN 47102
Open in Google Maps ↗

Other Names 1

Doing Business AsFoundations Family Medicine

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Well Care Community Health, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Well Care Community Health, Inc., which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner12
Family Practice4
Clinical Social Worker2
Clinical Psychologist1
Dentist1

Clinicians, nearest first (20)

Carolyn Cooke, MD
Family Practice
NPI 1609817378
25 W MAIN ST
Austin, IN 47102
(812) 794-8100
✔ PECOSSame address
William Cooke, M.D.
Family Practice
NPI 1699749770
25 W MAIN ST
Austin, IN 47102
(812) 794-8100
✔ PECOS✔ Accepts MedicareSame address
Miranda Hernly, APRN
Nurse Practitioner
NPI 1831815216
25 W MAIN ST
Austin, IN 47102
(812) 794-8100
✔ PECOS✔ Accepts MedicareSame address
Katie Jenkins, FNP
Nurse Practitioner
NPI 1740053677
25 W MAIN ST
Austin, IN 47102
(812) 794-8100
✔ PECOS✔ Accepts MedicareSame address
Jessica Kehl, NP
Nurse Practitioner
NPI 1386231769
25 W MAIN ST
Austin, IN 47102
(812) 794-8100
✔ PECOSSame address
Nancy Thomas, NP-C
Nurse Practitioner
NPI 1922411941
25 W MAIN ST
Austin, IN 47102
(812) 794-8100
✔ PECOS✔ Accepts MedicareSame address
Tania Valencia Cornejo
Nurse Practitioner
NPI 1780488205
25 W MAIN ST
Austin, IN 47102
(812) 794-8100
✔ PECOS✔ Accepts MedicareSame address
Lauren Basham, FNP
Nurse Practitioner
NPI 1891646972
401 S US HIGHWAY 31
Austin, IN 47102
(812) 227-3831
✔ PECOS✔ Accepts Medicare0.4 mi
Scarlett Mikesell-Pierce, DNP, APRN, FNP-C
Nurse Practitioner
NPI 1497352991
314 S FERGUSON ST
Henryville, IN 47126
(812) 794-8100
✔ PECOS✔ Accepts Medicare14 mi
Michelle Thompson, APRN
Nurse Practitioner
NPI 1053064436
3 AUDUBON PLAZA DR STE 530
Louisville, KY 40217
(502) 636-8334
✔ PECOS✔ Accepts Medicare36 mi
Chase Jennette, LCSW
Clinical Social Worker
NPI 1093116469
4523 OZARK LN
Indianapolis, IN 46239
(702) 776-0052
✔ PECOS69 mi
Zia Khan, D.D.S
Dentist
NPI 1730596891
100 MATTIE HARRIS RD
Centerville, IN 47330
(765) 855-3435
✔ PECOS86 mi
Crystal Bohse, FNP-BC
Nurse Practitioner
NPI 1992344105
2200 W MAIN ST
Richmond, IN 47374
(765) 973-9294
✔ PECOS✔ Accepts Medicare88 mi
David Desantis, M.D., PH.D
Family Practice
NPI 1467447748
2200 W MAIN ST
Richmond, IN 47374
(765) 973-9294
✔ PECOS✔ Accepts Medicare88 mi
Cherika O'brien
Nurse Practitioner
NPI 1174284558
2200 W MAIN ST
Richmond, IN 47374
(765) 973-9294
✔ PECOS✔ Accepts Medicare88 mi
Teresa Rider, FNP-BC
Nurse Practitioner
NPI 1659645273
2200 W MAIN ST
Richmond, IN 47374
(765) 973-9294
✔ PECOS✔ Accepts Medicare88 mi
Shelby True, FNP
Nurse Practitioner
NPI 1124745112
2200 W MAIN ST
Richmond, IN 47374
(765) 973-9294
✔ PECOS✔ Accepts Medicare88 mi
Ronald Williams, PH.D.
Clinical Psychologist
NPI 1457358392
2200 W MAIN ST
Richmond, IN 47374
(765) 973-9294
✔ PECOS88 mi
David Keller, MD
Family Practice
NPI 1154409282
203 EAST MAIN ST
Richmond, IN 47374
(765) 973-9294
✔ PECOS89 mi
Sheila Marshall, LCSW
Clinical Social Worker
NPI 1891706941
831 DILLON DR
Richmond, IN 47374
(765) 983-8000
✔ PECOS92 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D0716637

Well Care Community Health, Inc · Richmond, IN
Active · expires Feb 24, 2028
CLIA Number15D0716637
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorDavid M. Keller
Laboratory Phone(765) 973-9294
Laboratory LocationWell Care Community Health, Inc2200 West Main Street, Richmond, IN 47374
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 15D2323734

Well Care Community Health - Austin Sbhc · Austin, IN
Active · expires May 12, 2027
CLIA Number15D2323734
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorWilliam Cooke
Laboratory Phone(812) 794-8100
Laboratory LocationWell Care Community Health - Austin Sbhc401 Us 31 S, Austin, IN 47102
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Well Care Community Health, Inc.'s NPI number?

The NPI number for Well Care Community Health, Inc. is 1104538636. It was assigned to this organization in the NPPES registry on December 15, 2022. The provider is doing business as Foundations Family Medicine.

Where is Well Care Community Health, Inc. located?

Well Care Community Health, Inc. is located at 25 W Main St, Austin, IN 47102. The listed phone number is (812) 794-8100.

What is Well Care Community Health, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Well Care Community Health, Inc. enrolled in Medicare?

Yes. Well Care Community Health, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Well Care Community Health, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 5 Medicare specialties reassign their Medicare billing to Well Care Community Health, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (12), Family Practice (4) and Clinical Social Worker (2). Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Well Care Community Health, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Well Care Community Health, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Well Care Community Health, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Well Care Community Health, Inc. was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.