WELLCARE MEDICARE NPI 1649869678

NPI Information

  • NPI: 1649869678
  • Provider Name: WELLCARE MEDICARE
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • :
  • Address: 7700 FORSYTH BLVD
    SAINT LOUIS, MO
    ZIP 63105
  • Phone: (314) 725-4477

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NPI Details

WELLCARE MEDICARE is a preferred provider organization in Saint Louis, MO. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. WELLCARE MEDICARE NPI is 1649869678. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

7700 FORSYTH BLVD
SAINT LOUIS, MO
ZIP 63105-807
Phone: (314) 725-4477

The provider's authorized official is Jacob Cornelius Parker .
The authorized official title is Customer Support and has the following contact phone number (601) 268-8000.

The enumeration date for this NPI number is 1/14/2021 and was last updated on 11/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryNo
23140N1450XSkilled Nursing FacilityNursing Care, PediatricNo
3163WP0000XRegistered NursePain ManagementNo
43336M0002XPharmacyMail Order PharmacyNo
5305R00000XPreferred Provider OrganizationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
112365433061OTHERMISSOURICORPORATE OFFICE
28420042213OTHERMISSISSIPPIENVISION HEALTHCARE
38420042213OTHERMISSISSIPPIUNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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