Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Norman Wells

Individual provider Registered Nurse · NPI 1952164600

Jacob Norman Wells is a Certified Registered Nurse Anesthetist (CRNA) in Rolla, Missouri. Qualified in 2024, 2 years ago. Practices with Phelps County Regional Medical Center, a 109-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1000 W 10th St
Rolla, MO 65401-2905
Phone: (573) 458-8899
Fax: (573) 341-5611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2024023273 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2019006750 (MO)

Record details

NPI number1952164600
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 5, 2024
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024
Mailing address1000 W 10th St, Rolla, MO 65401-2905

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Phelps County Regional Medical Center — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rolla