Active NPI
Shelley Marie Wells, DO
- Anesthesiology Physician
- Clarion, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301
- Practice address
- 1316 S Main St
Clarion, IA 50525-2019 - Phone
- (515) 532-3119
- Fax
- (515) 532-3119
- NPI assigned
- Dec 1, 2005
- Last updated
- Sep 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 42287 | MN | |
| Anesthesiology Physician | 207L00000X | 4301 | IA | Primary |
Addresses
Primary practice location
1316 S Main St
Clarion, IA 50525-2019
Mailing address
1316 S Main St
Clarion, IA 50525-2019
Phone (515) 602-9833
Other practice location 1
403 1st St SE
Belmond, IA 50421-1201
Phone (641) 444-3500
Other practice location 2
2700 1st Ave S Ste 100
Fort Dodge, IA 50501-4300
Phone (515) 955-6767
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21714 | Other | MN | SIOUX VALLEY |
| HP36388 | Other | MN | HEALTH PARTNERS |
| 15D87WE | Medicaid | MN | |
| 20-01845 | Other | MN | MEDICA |
| 74913300 | Medicaid | MN | |
| MH904102684 | Other | MN | PPO |
| 15D87WE | Other | MN | BCBS |
| 522797 | Medicaid | MN | |
| 882882 | Other | MN | ARAZ |
| 128907 | Medicaid | MN | |
| 7312 | Other | MN | AVERA |
| 15D87WE | Other | MN | BCBS/MEDICARE SUPPLEMENT |
| A045 | Other | MN | CHAMPUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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
- Pain Management
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iowa Specialty Hospital- Clarion
Practice addresses (Care Compare)
1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811
2700 1St Ave S
Fort Dodge, IA 50501-4300
Phone (515) 955-6767
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42287 | MN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Specialty Hospital- Clarion | Current | Accepting new patients | |
| Iowa Specialty Hospital- Clarion | Current | Accepting new patients | |
| Belmond Community Hospital | Current | Accepting new patients | |
| Belmond Community Hospital | Current | Accepting new patients | |
| Iowa Specialty Hospital- Clarion | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Past | Accepting new patients | |
| Belmond Community Hospital | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223
1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811
215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836
2700 1st Ave S
Ste 100
Fort Dodge, IA 50501
Phone (515) 955-6767
700 2nd St SE
Ste 101
Hampton, IA 50441
Phone (641) 812-1094
Interoperability endpoints
- swells84246@uihcdirect.org
Organizations & group practices 8
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.
-
dba Iowa Specialty Hospital- Belmond
- Family Medicine Physician
- Belmond, IA
- NPI 1821122623
-
dba Iowa Specialty Hospital - Belmond
- Critical Access Hospital
- Belmond, IA
- NPI 1932142726
-
- Critical Access Hospital
- Clarion, IA
- NPI 1396760153
-
- Critical Access Hospital
- Clarion, IA
- NPI 1821045451
-
dba Clarion Clinic
- Rural Health Clinic/Center
- Clarion, IA
- NPI 1417972258
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Iowa Specialty Hospital - Belmond
- Critical Access Hospital
- Belmond, IA
- NPI 1932142726
-
- Critical Access Hospital
- Clarion, IA
- NPI 1821045451
-
dba Mercy Medical Center-North Iowa
- Rural Acute Care Hospital
- Mason City, IA
- NPI 1467537886
-
dba UnityPoint Health Trinity Regional Medical Center
- General Acute Care Hospital
- Fort Dodge, IA
- NPI 1487759858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1154305258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 S MAIN ST",
"city": "CLARION",
"state": "IA",
"postal_code": "505252019",
"telephone_number": "515-602-9833",
"fax_number": "866-993-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 S MAIN ST",
"city": "CLARION",
"state": "IA",
"postal_code": "505252019",
"telephone_number": "515-532-3119",
"fax_number": "515-532-3119"
}
],
"practiceLocations": [
{
"address_1": "403 1st St SE",
"address_purpose": "LOCATION",
"city": "Belmond",
"state": "IA",
"postal_code": "504211201",
"country_code": "US",
"telephone_number": "641-444-3500",
"fax_number": "319-343-1161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2700 1st Ave S Ste 100",
"address_purpose": "LOCATION",
"city": "Fort Dodge",
"state": "IA",
"postal_code": "505014300",
"country_code": "US",
"telephone_number": "515-955-6767",
"fax_number": "515-576-8581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLS",
"first_name": "SHELLEY",
"middle_name": "MARIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MN",
"license": "42287",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "4301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY",
"identifier": "21714",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP36388",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15D87WE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "20-01845",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74913300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPO",
"identifier": "MH904102684",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "15D87WE",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "522797",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "882882",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128907",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVERA",
"identifier": "7312",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/MEDICARE SUPPLEMENT",
"identifier": "15D87WE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "A045",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarion, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.