Individual provider Active NPI

Joel Alan Wells, D.O.

  • Family Medicine Physician
  • Corydon, IA
National Provider Identifier
1114902087
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02343 Issued in IA
Practice address
417 S East St
Suite #100
Corydon, IA 50060-1860
Phone
(641) 872-2063
Fax
(641) 872-2070
NPI assigned
Dec 13, 2005
Last updated
Jan 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02343 IA Primary

Addresses

Primary practice location

417 S East St
Suite #100
Corydon, IA 50060-1860

Mailing address

1852 Liberty Rd
Corydon, IA 50060-8713
Phone (641) 872-2896

Other identifiers 1

IdentifierTypeStateIssuer
1299727MedicaidIA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251016000210 MO Practitioner - Family Practice 4183513948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 W Jefferson St
Kirksville, MO 63501-1443
Phone (660) 626-2304

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02343IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A T Still University of Health Sciences Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Wayne County Hospital Current Accepting new patients
A T Still University of Health Sciences CurrentSince Oct 1, 2025 Accepting new patients
Wayne County Treasury Past Accepting new patients

Locations

417 S East St
Corydon, IA 50060
Phone (641) 872-2260

417 S East St
Ste 100
Corydon, IA 50060
Phone (515) 872-2063

417 S East St
Ste Er
Corydon, IA 50060

800 W Jefferson St
Kirksville, MO 63501
Phone (660) 626-2235

Interoperability endpoints

  • Direct secure messaging: jwells670757@direct.ochin.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1114902087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 LIBERTY RD",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500608713",
            "telephone_number": "641-872-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S EAST ST",
            "address_2": "SUITE #100",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601860",
            "telephone_number": "641-872-2063",
            "fax_number": "641-872-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JOEL",
        "middle_name": "ALAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "02343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1299727",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IA

Sources for this page

Verify at the official NPI Registry.