Individual provider Active NPI

Alicia N. Wells, D.O.

  • Emergency Medicine Physician
  • Johnstown, PA
National Provider Identifier
1194170308
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OT016935 Issued in PA
Practice address
1086 Franklin St
Johnstown, PA 15905-4305
Phone
(814) 534-3745
Fax
(814) 534-5677
NPI assigned
Apr 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT016935 PA Primary

Addresses

Primary practice location

1086 Franklin St
Johnstown, PA 15905-4305

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-3745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191018000948 PA Practitioner - Emergency Medicine 0941597421 Reassigns benefits to 2 organizations
I20200110000183 MD Practitioner - Emergency Medicine 0941597421 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nason Physician Practices LLC Emergency Medicine CurrentSince Aug 27, 2019 Accepting new patients
Mep Observation Services LLC CurrentSince Dec 17, 2019 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Aug 27, 2019 Accepting new patients
Nason Physician Practices LLC Emergency Medicine Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Mar 1, 2024 Accepting new patients
Mep Observation Services LLC Emergency Medicine CurrentSince Dec 17, 2019 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Dec 16, 2019 Accepting new patients
Nason Physician Practices LLC CurrentSince Aug 27, 2019 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Aug 27, 2019 Accepting new patients

Locations

2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

200 Hospital Dr
Meyersdale, PA 15552
Phone (814) 634-5911

104 Hillcrest Dr
Roaring Spring, PA 16673
Phone (814) 224-5455

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1194170308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-534-3745",
            "fax_number": "814-534-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-534-3745",
            "fax_number": "814-534-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ALICIA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT016935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.