JENNINGS COUNTY WELLCARE PC
NPI 1194580886
Nurse Practitioner in North Vernon, IN
About Jennings County Wellcare Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNINGS COUNTY WELLCARE PC (NPI 1194580886) is a healthcare organization registered as a nurse practitioner in North Vernon, Indiana and active in the NPI registry since February 2024. The organization lists Bruce Phillips, Clinic Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennings County Wellcare Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Jennings County Wellcare PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jennings County Wellcare PC's NPI number?
The NPI number for Jennings County Wellcare PC is 1194580886. It was assigned to this organization in the NPPES registry on February 21, 2024.
Where is Jennings County Wellcare PC located?
Jennings County Wellcare PC is located at 2200 N State Highway 7, North Vernon, IN 47265. The listed phone number is (812) 346-4181.
What is Jennings County Wellcare PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jennings County Wellcare PC enrolled in Medicare?
Yes. Jennings County Wellcare PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jennings County Wellcare PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jennings County Wellcare PC, in Chiropractic and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jennings County Wellcare PC was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Jennings County Wellcare Pc · NPI 1194580886
Nurse Practitioner organization in North Vernon, Indiana. Organization record, active in the CMS NPPES registry since February 21, 2024.
## Identity
- **NPI:** 1194580886 (Entity type: Organization)
- **Enumerated:** February 21, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Bruce Phillips, CLINIC DIRECTOR
## Practice location
- **Address:** 2200 N STATE HIGHWAY 7, North Vernon, IN 47265-7192
- **Phone:** (812) 346-4181
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194580886) · Data from the CMS NPPES public registry.