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MEDWELL MEDICAL GROUP LLC
NPI 1205666088
Nurse Practitioner in Tempe, AZ

Active since August 06, 2024
995 E BASELINE RD APT 2116, TEMPE, AZ 85283(810) 813-5550 Get Directions Write a Review

NPPES record last updated: November 2, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Medwell Medical Group Llc NPPES

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

MEDWELL MEDICAL GROUP LLC (NPI 1205666088) is a healthcare organization registered as a nurse practitioner in Tempe, Arizona and active in the NPI registry since August 2024. The organization lists Eddy Elkassis, Owner, as its authorized official.

NPPES Registry Identity

NPI1205666088
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMEDWELL MEDICAL GROUP LLC
Location Address995 E BASELINE RD APT 2116Tempe, AZ 85283-1363
Mailing Address6036 Jennifer CresW Bloomfield, MI 48324-3127
Phone(810) 813-5550
Organization SubpartNo
Authorized OfficialEddy ElkassisOwner · (810) 813-5550
Enumeration DateAugust 6, 2024
Last NPPES UpdateNovember 2, 2024
NPPES CertifiedNovember 2, 2024
✔ NPI 1205666088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
995 E BASELINE RD APT 2116, Tempe, AZ 85283
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

EDDY ELKASSIS
Nurse Practitioner
995 E BASELINE RD APT 2116
TEMPE, AZ 85283
Maricopa County (810) 813-5550

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 Medwell Medical Group LLC's NPI number?

The NPI number for Medwell Medical Group LLC is 1205666088. It was assigned to this organization in the NPPES registry on August 6, 2024.

Where is Medwell Medical Group LLC located?

Medwell Medical Group LLC is located at 995 E Baseline Rd Apt 2116, Tempe, AZ 85283. The listed phone number is (810) 813-5550.

What is Medwell Medical Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Medwell Medical Group LLC was last updated on November 2, 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.