Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MADISON WELLMAN
NPI 1104660919
Nurse Practitioner - Family in Jacksboro, TX

Q: What is Madison Wellman's NPI number?

The NPI number for Madison Wellman is 1104660919. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Q: What is Madison Wellman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Madison Wellman was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.

Active since June 25, 2024

1620 FM 3344, JACKSBORO, TX 76458(940) 567-2272 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2026, Sep 1, 2025, Jun 25, 2024 (3 updates tracked since 2024).

On this page

About Madison Wellman NPPES

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

MADISON WELLMAN (NPI 1104660919) is an individual family provider in Jacksboro, Texas, licensed in Texas (1051609) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1104660919

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMADISON WELLMAN

Location Address1620 FM 3344Jacksboro, TX 76458-3127

Mailing Address1620 Fm 3344Jacksboro, TX 76458-3127

Phone(940) 567-2272

Sole ProprietorYes

Enumeration DateJune 25, 2024

Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1104660919 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 TX · 1051609

1620 FM 3344, Jacksboro, TX 76458

Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHELLE STOTTLEMYRE FNP-C

Nurse Practitioner (Family)

1620 FM 3344
JACKSBORO, TX 76458

Jack County (940) 567-2272

SUZZAN BEA FLEMING

Nurse Practitioner (Family)

1620 FM 3344
JACKSBORO, TX 76458

Jack County (940) 567-2272

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 Madison Wellman's NPI number?

The NPI number for Madison Wellman is 1104660919. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Madison Wellman located?

Madison Wellman practices at 1620 Fm 3344, Jacksboro, TX 76458. The listed phone number is (940) 567-2272.

What is Madison Wellman's specialty?

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

When was this NPI record last updated?

The NPPES record for Madison Wellman was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.