Individual ProviderKasi Rebecca WellsNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1421 Porter Rd Ste 4, Nashville, TN 37206-1669(205) 335-7311PECOS EnrollmentBased on the most recent information from CMS, provider Kasi Rebecca Wells does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1033718960Provider TypeIndividualFull NameWells, Kasi RebeccaCredentialFNP-BCGenderFemaleSole ProprietorNoEnumeration Date10/21/2020Last Updated5/2/2022Contact InformationPractice LocationPractice Address1421 Porter Rd Ste 4, Nashville, TN 37206-1669Phone(205) 335-7311FaxUnlisted FaxMailing LocationMailing Address25749 Fieldstone Dr, Madison, AL 35756-5212Phone(205) 335-7311FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense27940Tennessee