WELL-CARE CORP
NPI 1952853061
Nurse Practitioner - Family in Woodbridge, VA
About Well-care Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELL-CARE CORP (NPI 1952853061) is a healthcare organization registered as a family in Woodbridge, Virginia and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Carlos Fagbenro, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Well-care Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Well-Care Corp, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 49D2126672
Well-Care Corp · Woodbridge, VAFrequently 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 Well-Care Corp's NPI number?
The NPI number for Well-Care Corp is 1952853061. It was assigned to this organization in the NPPES registry on October 25, 2016.
Where is Well-Care Corp located?
Well-Care Corp is located at 4215 Dale Blvd, Woodbridge, VA 22193. The listed phone number is (571) 594-9110.
What is Well-Care Corp's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Well-Care Corp enrolled in Medicare?
Yes. Well-Care Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Well-Care Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Well-Care Corp. 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.
Does Well-Care Corp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2126672) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Well-Care Corp was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Well-Care Corp · NPI 1952853061
Family organization in Woodbridge, Virginia. Organization record, active in the CMS NPPES registry since October 25, 2016.
## Identity
- **NPI:** 1952853061 (Entity type: Organization)
- **Enumerated:** October 25, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Carlos Fagbenro, OWNER
## Practice location
- **Address:** 4215 DALE BLVD, Woodbridge, VA 22193-2243
- **Phone:** (571) 594-9110 · **Fax:** (571) 526-5509
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 25, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952853061) · Data from the CMS NPPES public registry.