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WELLCARE, LLC
NPI 1558077503
Nurse Practitioner - Primary Care in Overland Park, KS

Active since January 24, 2023
10787 NALL AVE, OVERLAND PARK, KS 66211(316) 835-1669 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellcare, Llc NPPES

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

WELLCARE, LLC (NPI 1558077503) is a healthcare organization registered as a primary care in Overland Park, Kansas and active in the NPI registry since January 2023. The organization lists Jaclyn B Whitlock, Aprn/owner, as its authorized official.

NPPES Registry Identity

NPI1558077503
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameWELLCARE, LLC
Location Address10787 NALL AVEOverland Park, KS 66211
Mailing Address6022 Marion StShawnee, KS 66218-9254 · (913) 548-2434
Phone(316) 835-1669
Organization SubpartNo
Authorized OfficialJaclyn B WhitlockAprn/owner · (913) 548-2434
Enumeration DateJanuary 24, 2023
NPPES CertifiedJanuary 15, 2023
✔ NPI 1558077503 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
10787 NALL AVE, Overland Park, KS 66211
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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 20

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

DR. PAUL G DIEDERICH M.D.
Internal Medicine
10787 NALL AVE, STE. 310
OVERLAND PARK, KS 66211
Johnson County (913) 945-6900
GRETCHEN P POLAND ARNP-C
Nurse Practitioner (Family)
10787 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 491-3300
KATHRYN TIMM ARNP-C
Nurse Practitioner (Family)
10787 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 491-3300
DOUGLAS S. ANDERSON M.D.
Family Medicine
10787 NALL AVE, SUITE 310
OVERLAND PARK, KS 66211
Johnson County (913) 945-6900
CELINA C BERNABE DO
Allergy & Immunology
10787 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 491-3300
JAYHAWK PRIMARY CARE INC
Internal Medicine
10787 NALL AVE, STE 310
OVERLAND PARK, KS 66211
Johnson County (913) 945-6900
DUSTIN P BAKER APRN, FNP-C
Nurse Practitioner (Family)
10787 NALL AVE
OVERLAND PARK, KS 66211
Johnson County (913) 588-0000
DR. MICHAEL GREEN D.C
Chiropractor
10787 NALL AVE, SUITE 110
OVERLAND PARK, KS 66211
Johnson County (913) 667-2829

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 1558077503. It was assigned to this organization in the NPPES registry on January 24, 2023.

Where is Wellcare, LLC located?

Wellcare, LLC is located at 10787 Nall Ave, Overland Park, KS 66211. The listed phone number is (316) 835-1669.

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 January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.