James Wendell, DO
Individual provider Active NPI Family Medicine Physician · Ofallon, MO
NPI 1194468876 · NPPES record last updated Sep 17, 2025
Key facts
- NPI
- 1194468876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2025029276 (MO)
- Practice address
- 2630 State Highway K
Ste 100
Ofallon, MO 63368 - Phone
- (636) 240-5454
- Fax
- (636) 980-5335
- NPI assigned
- Apr 19, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physician Groups LC
Aging Well Health Care, LLC
Practice addresses (Care Compare)
2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454
7212 Balson Ave
Saint Louis, MO 63130-3001
Hospital & facility affiliations
- Missouri Baptist Medical Center
- Progress West Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250909004647 | MO | Practitioner - Family Practice | 4981068871 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206-T1 | WY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Groups LC | Family Medicine | Current |
Accepting new patients |
| Physician Groups LC | Current |
Accepting new patients |
Locations
2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454
2630 Highway K
Ste 100
O Fallon, MO 63368
Phone (636) 240-5454
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 206-T1 | WY | |
| Family Medicine Physician | 207Q00000X | 2025029276 | MO | Yes |
Addresses
Primary practice location
2630 State Highway K
Ste 100
Ofallon, MO 63368
Mailing address
PO Box 959354
Saint Louis, MO 63195-9354
Phone (307) 234-6161
Other practice location 1
1522 E A St
Casper, WY 82601-2221
Phone (307) 234-6161
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) |
Other providers in Ofallon, MO
- Charles Andrew Walker
- Washeck Manual Therapy LLC
- Lori Ann Watt
- Aaron Welk
- Wellvana LLC
- Michael L Williams
- Rachael Elizabeth Wilson
- Caitlin Winkler
- Mary Withoelter
- Nancy Jean Woods
All providers in Ofallon, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.