Individual provider Active NPI

Kristen Leanne Wells, M.D.

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1083058259
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
R2787 Issued in TX
Practice address
4242 Medical Dr Ste 3100
San Antonio, TX 78229-5642
Phone
(210) 615-1187
Fax
(210) 614-2180
NPI assigned
Apr 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X R2787 TX Primary

Addresses

Primary practice location

4242 Medical Dr Ste 3100
San Antonio, TX 78229-5642

Mailing address

PO Box 34717
San Antonio, TX 78265-4717
Phone (210) 615-1187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170824001566 TX Practitioner - Anesthesiology 5193097285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Texas Tech University Health Science Center School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

138 Old San Antonio Rd
Suite 400
Boerne, TX 78006-3492
Phone (210) 442-9977

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R2787TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC Anesthesiology CurrentSince Dec 24, 2023 Accepting new patients

Locations

7000 N Mopac Expy
Ste 120
Austin, TX 78731
Phone (512) 342-0900

112 Herff Rd
Ste 200
Boerne, TX 78006
Phone (210) 331-7720

138 Old San Antonio Rd
Ste 400
Boerne, TX 78006
Phone (210) 442-9977

110 Menger Spgs
Boerne, TX 78006
Phone (830) 331-6006

7115 Greenville Ave
Dallas, TX 75231
Phone (214) 369-7115

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

2201 K Ave
Ste B100
Plano, TX 75074
Phone (214) 931-6133

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

19226 Stonehue
Ste 103
San Antonio, TX 78258
Phone (210) 268-0100

1919 Rogers Rd
Ste 102
San Antonio, TX 78251
Phone (210) 267-8000

9618 Huebner Rd
Ste 111
San Antonio, TX 78240
Phone (210) 942-0999

1139 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 638-2000

5510 Presidio Pkwy
Ste 100
San Antonio, TX 78249
Phone (210) 583-7200

18414 US Highway 281 N
Ste 114
San Antonio, TX 78259
Phone (210) 450-4155

123 N Loop 1604 E
Ste 107
San Antonio, TX 78232
Phone (210) 267-1374

502 Madison Oak Dr
Ste 500
San Antonio, TX 78258
Phone (210) 499-6700

4411 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-4584

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

6427 Old Babcock Rd
Ste 100
San Antonio, TX 78240
Phone (210) 704-0465

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083058259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34717",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782654717",
            "telephone_number": "210-615-1187",
            "fax_number": "210-614-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR STE 3100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295642",
            "telephone_number": "210-615-1187",
            "fax_number": "210-614-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KRISTEN",
        "middle_name": "LEANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "R2787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.