1. Home
  2. Directory
  3. Arizona
  4. Glendale
  5. Nurse Practitioner
  6. NPI Profile

WELLCARE, LLC
NPI 1366469140
Nurse Practitioner - Primary Care in Glendale, AZ

Active since July 16, 2006
18275 N 59TH AVE STE 138, GLENDALE, AZ 85308(602) 564-0078(602) 564-1154 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellcare, Llc NPPES

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

WELLCARE, LLC (NPI 1366469140) is a healthcare organization registered as a primary care in Glendale, Arizona and active in the NPI registry since July 2006. The organization lists Derek Sebade, Owner, as its authorized official.

NPPES Registry Identity

NPI1366469140
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameWELLCARE, LLC
Location Address18275 N 59TH AVE STE 138Glendale, AZ 85308-1253
Mailing Address18275 N 59th Ave Ste 138Glendale, AZ 85308-1253 · (602) 564-0078 · Fax (602) 564-1154
Phone(602) 564-0078
Fax(602) 564-1154
Organization SubpartNo
Authorized OfficialDerek SebadeOwner · (602) 564-0078
Enumeration DateJuly 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1366469140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in AZ · 082334
18275 N 59TH AVE STE 138, Glendale, AZ 85308
Open in Google Maps ↗

Other Identifiers 1

Medicaid61944AZ

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 8

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

JUNNESH MOUSHI FNP
Nurse Practitioner (Family)
18275 N 59TH AVE STE 138
GLENDALE, AZ 85308
Maricopa County (602) 564-0078
MASON ROSS PA-C
Physician Assistant
18275 N 59TH AVE STE 138
GLENDALE, AZ 85308
Maricopa County (602) 564-0078
APRIL MONIQUE JACKSON FNP
Nurse Practitioner (Family)
18275 N 59TH AVE STE 138
GLENDALE, AZ 85308
Maricopa County (602) 564-1154
MRS. CLARISSA MICHELLE SAENZ PA-C
Physician Assistant
18275 N 59TH AVE STE 138
GLENDALE, AZ 85308
Maricopa County (602) 546-0078
ARROWHEAD INTERNAL MEDICINE
Internal Medicine (Geriatric Medicine)
18275 N 59TH AVE STE 138
GLENDALE, AZ 85308
Maricopa County (602) 564-0078
RAMON PASCUA MD
Family Medicine
18275 N 59TH AVE STE 138
GLENDALE, AZ 85308
Maricopa County (602) 564-0078
MR. JAMES MARCZAK PA-C
Physician Assistant
18275 N 59TH AVE STE 138
GLENDALE, AZ 85308
Maricopa County (602) 843-2300
MS. KODEE AVERY PA-C
Physician Assistant
18275 N 59TH AVE STE 138
GLENDALE, AZ 85308
Maricopa County (602) 564-0078

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 Wellcare, LLC's NPI number?

The NPI number for Wellcare, LLC is 1366469140. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Wellcare, LLC located?

Wellcare, LLC is located at 18275 N 59th Ave Ste 138, Glendale, AZ 85308. The listed phone number is (602) 564-0078.

What is Wellcare, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Wellcare, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.