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JACQUIA WELLS
NPI 1104577014
Nurse Practitioner - Family in Gonzales, LA

Active since January 12, 2022PECOS EnrolledAccepts Medicare Assignment
711 E ASCENSION ST UNIT 360, GONZALES, LA 70737(225) 954-8732 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2025, Jan 12, 2022 (2 updates tracked since 2022).

About Jacquia Wells NPPES

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

JACQUIA WELLS (NPI 1104577014) is an individual family provider in Gonzales, Louisiana, licensed in Louisiana (239859) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104577014
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUIA WELLS
Location Address711 E ASCENSION ST UNIT 360Gonzales, LA 70737-3028
Mailing Address711 E Ascension St Unit 360Gonzales, LA 70737-3028 · (225) 954-8732
Phone(225) 954-8732
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 12, 2022
Last NPPES UpdateJune 24, 20252 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1104577014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in LA · 239859
711 E ASCENSION ST UNIT 360, Gonzales, LA 70737
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacquia Wells is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284138561
PECOS Enrollment IDI20250918004242
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jacquia Wells reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Calcasieu Urgent Care LLC
141 mi
Urgent Care
2640 COUNTRY CLUB RD, SUITE 400
Lake Charles, LA 70605
  • Reassigned Medicare billing, Louisiana enrollment
  • 314 clinicians in this Medicare group
NPI 1467715490 (931) 253-1110
Upperline Healthcare, PC
326 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Louisiana enrollment
  • 163 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402
Signify Health, LLC
396 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Louisiana enrollment
  • 439 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70737 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jacquia Wells's NPI number?

The NPI number for Jacquia Wells is 1104577014. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Where is Jacquia Wells located?

Jacquia Wells practices at 711 E Ascension St Unit 360, Gonzales, LA 70737. The listed phone number is (225) 954-8732.

What is Jacquia Wells's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacquia Wells enrolled in Medicare?

Yes. Jacquia Wells is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jacquia Wells's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquia Wells reassigns Medicare benefits to 3 organizations: Calcasieu Urgent Care LLC (Lake Charles, LA), Upperline Healthcare, PC (Hoover, AL) and Signify Health, LLC (Dallas, TX). Each 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 Jacquia Wells's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacquia Wells was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.