Individual provider Active NPI

Lauren Wells, PA-C

  • Physician Assistant
  • Moab, UT
National Provider Identifier
1194573295
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14247279-1205 Issued in UT
Practice address
5555 Old Airport Rd
Moab, UT 84532-5102
Phone
(435) 419-9210
Fax
(435) 216-3020
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14247279-1205 UT Primary

Addresses

Primary practice location

5555 Old Airport Rd
Moab, UT 84532-5102

Mailing address

5555 Old Airport Rd
Moab, UT 84532-5102
Phone (435) 419-9210

Other practice location 1

5555 Old Airport Rd
Moab, UT 84532-5105
Phone (435) 419-9210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251114002419 UT Practitioner - Physician Assistant 6406347749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Juan County HospitalGroup PAC ID 4486541851, 19 clinicians

Practice addresses (Care Compare)

380 W 100
Monticello, UT 84535-0308
Phone (435) 587-2116

380 W 100
Suite a
Monticello, UT 84535-7879
Phone (435) 587-5054

5555 Old Airport Rd
Spanish Valley, UT 84532-5105
Phone (435) 587-1234

PO Box
Suite 1054
Monticello, UT 84535

Hospital & facility affiliations

  • San Juan Hospital Hospital, Monticello, UT, CCN 461308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14247279-1205UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan County Hospital Current Accepting new patients
San Juan County Hospital CurrentSince Oct 7, 2025 Accepting new patients
San Juan County Hospital CurrentSince Nov 24, 2025 Accepting new patients
Rocky Mountain University of Health Professions Foundation CurrentSince May 19, 2024 Accepting new patients
San Juan County Hospital Past Accepting new patients

Locations

735 S 200 W
Ste 3
Blanding, UT 84511
Phone (435) 678-2254

5555 Old Airport Rd
Moab, UT 84532
Phone (435) 419-9210

1800 Novell Pl
Provo, UT 84606
Phone (801) 375-5125

Organizations & group practices 6

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.

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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1194573295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 OLD AIRPORT RD",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845325102",
            "telephone_number": "435-419-9210",
            "fax_number": "435-216-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 OLD AIRPORT RD",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845325102",
            "telephone_number": "435-419-9210",
            "fax_number": "435-216-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Old Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Moab",
            "state": "UT",
            "postal_code": "845325105",
            "country_code": "US",
            "telephone_number": "435-419-9210",
            "fax_number": "435-216-3020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "14247279-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moab, UT

Sources for this page

Verify at the official NPI Registry.