Individual provider Active NPI

Heather Elaine Wells, D.O.

  • Family Medicine Physician
  • Wewahitchka, FL
National Provider Identifier
1326458159
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS14757 Issued in FL
Practice address
807 Highway 22
Wewahitchka, FL 32465-3237
Phone
(850) 568-1053
NPI assigned
May 1, 2014
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS14757 FL Primary
Family Medicine Physician 207Q00000X DOS-2231 HI

Addresses

Primary practice location

807 Highway 22
Wewahitchka, FL 32465-3237

Mailing address

849 W Gulf Beach Dr
Saint George Island, FL 32328-2512
Phone (850) 419-7319

Other practice location 1

101 Martin Luther King Dr
Mankato, MN 56001-6460
Phone (507) 385-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20220422000791 HI Practitioner - Family Practice 8022325620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kau HospitalGroup PAC ID 7416945548, 138 clinicians

Practice addresses (Care Compare)

15 -2714 Pahoa Village Rd
Pahoa, HI 96778-9715
Phone (808) 930-6001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kau Hospital CurrentSince Feb 1, 2022 Accepting new patients
Hilo Benioff Medical Center CurrentSince Feb 1, 2022 Accepting new patients
Kau Hospital CurrentSince Feb 1, 2022 Accepting new patients
Hilo Benioff Medical Center CurrentSince Feb 1, 2022 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

15-2714 Pahoa Village Rd
Unit L5
Pahoa, HI 96778
Phone (808) 729-9090

Interoperability endpoints

  • Direct secure messaging: hwells21743@hhsc.direct-ci.com

Organizations & group practices 5

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": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1326458159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 W GULF BEACH DR",
            "city": "SAINT GEORGE ISLAND",
            "state": "FL",
            "postal_code": "323282512",
            "telephone_number": "850-419-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 HIGHWAY 22",
            "city": "WEWAHITCHKA",
            "state": "FL",
            "postal_code": "324653237",
            "telephone_number": "850-568-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Martin Luther King Dr",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560016460",
            "country_code": "US",
            "telephone_number": "507-385-6500",
            "fax_number": "507-385-6510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "HEATHER",
        "middle_name": "ELAINE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14757",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS-2231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wewahitchka, FL

Sources for this page

Verify at the official NPI Registry.