Maribel Wellwood

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10939 Issued in AZ

Practice address

16841 N 31St Ave Ste 130
Phoenix, AZ 85053-3051

Phone

(602) 491-0703

NPI assigned

Dec 8, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthyu Family Medicine LLCGroup PAC ID 6204224918, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: maribel.wellwood.1@24378.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthyu Family Medicine, LLC

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1669149787
  Medicare reassignment Care Compare group
• Healthyu Phoenix 31St Avenue, LLC

  • Non-Pharmacy Dispensing Site
  • Phoenix, AZ
  • NPI 1902516362
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1013784008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16841 N 31ST AVE STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16841 N 31ST AVE STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533051",
            "telephone_number": "602-491-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLWOOD",
        "first_name": "MARIBEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "10939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Wells
• Rozlane Denese Wells
• Tiffany Amber Wells
• Zachary J Wells, D.C.
• Wellsprings of Phoenix LLC
• Joseph Jason Welser, M.D.
• Connor Welsh
• Gisso Welsh, LPC
• Hanna Welsh
• Maureen L Welsh, NP

• Medical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.