Lisa Wells, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001343 Issued in IA

Practice address

4949 Pleasant St Ste 104
West Des Moines, IA 50266-5494

Phone

(515) 369-0034

Fax

(844) 381-0919

NPI assigned

Sep 30, 2005

Last updated

Feb 10, 2026By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25392/brand/1/csg/1/fhir/r4

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.

• Grapevine Clinical LLC

  • Clinical Social Worker
  • West Des Moines, IA
  • NPI 1952837809
  NPD

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1093702409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 PLEASANT ST STE 104",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665494",
            "telephone_number": "515-369-0034",
            "fax_number": "844-381-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 PLEASANT ST STE 104",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665494",
            "telephone_number": "515-369-0034",
            "fax_number": "844-381-0919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1985 NE 51st Pl",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503132517",
            "country_code": "US",
            "telephone_number": "515-875-5718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "LISA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "001343",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.wells@grapevineclinical.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "4949 Pleasant St Ste 104",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502665494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Whitney Welp
• Alexander Brian Welsch, OD
• Lynn Ann Welzenbach, NURSE PRACTITIONER
• Abigail Wenke
• Cheyenne Wenstad

• Physician Assistant in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.