Active NPI
Michael G Wells, D.O.
- Family Medicine Physician
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 101616
- Practice address
- 11605 E 23Rd St S
Independence, MO 64050-4201 - Phone
- (816) 579-6891
- NPI assigned
- Feb 2, 2006
- Last updated
- Aug 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 101616 | MO | Primary |
Addresses
Primary practice location
11605 E 23Rd St S
Independence, MO 64050-4201
Mailing address
11605 E 23Rd St S
Independence, MO 64050-4201
Phone (816) 579-6891
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 243420445 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11605 E 23Rd St S
Independence, MO 64050-4201
Phone (816) 579-6891
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archwell Health Professional Services of Kansas, P.a. | Current | Accepting new patients | |
| Callaway Emergency Physicians, LLC | Past | Accepting new patients |
Locations
11605 E 23rd St S
Independence, MO 64050
Phone (816) 579-6891
3135 Prospect Ave
Kansas City, MO 64128
Phone (816) 209-1237
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Gentiva | Hospice | Contracted Managing Employee | Jan 24, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Gentiva
- Community Based Hospice Care Agency
- Kansas City, MO
- NPI 1073514600
Contracted Managing Employee
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Ferguson, MO
- NPI 1083289086
-
- Emergency Medicine Physician
- Fulton, MO
- NPI 1922054543
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gentiva
- Community Based Hospice Care Agency
- Kansas City, MO
- NPI 1073514600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1033181367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11605 E 23RD ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640504201",
"telephone_number": "816-579-6891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11605 E 23RD ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640504201",
"telephone_number": "816-579-6891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "MICHAEL",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "101616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "243420445",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.