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

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