Individual provider Active NPI

Shelley Marie Wells, DO

  • Anesthesiology Physician
  • Clarion, IA
National Provider Identifier
1154305258
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301 Issued in IA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
21714OtherMNSIOUX VALLEY
HP36388OtherMNHEALTH PARTNERS
15D87WEMedicaidMN
20-01845OtherMNMEDICA
74913300MedicaidMN
MH904102684OtherMNPPO
15D87WEOtherMNBCBS
522797MedicaidMN
882882OtherMNARAZ
128907MedicaidMN
7312OtherMNAVERA
15D87WEOtherMNBCBS/MEDICARE SUPPLEMENT
A045OtherMNCHAMPUS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120727000015 IA Practitioner - Pain ManagementPractitioner - Anesthesiology 8123931896 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
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- ClarionGroup PAC ID 3375451347, shared by 6 NPIs, 94 clinicians

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

LicenseStateTypeSpecialty
42287MNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Specialty Hospital- Clarion CurrentSince Jul 1, 2012 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Jul 1, 2012 Accepting new patients
Belmond Community Hospital Current Accepting new patients
Belmond Community Hospital CurrentSince Jul 9, 2012 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.