Active NPI
Wendel Wells
- Critical Care Medicine Registered Nurse
- Great Falls, MT
National Provider Identifier
1386449122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 2021039491
- Practice address
- 5310 4TH Ave S
Great Falls, MT 59405-3912 - Phone
- (832) 431-9324
- NPI assigned
- Feb 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 2021039491 | MO | Primary |
Addresses
Primary practice location
5310 4TH Ave S
Great Falls, MT 59405-3912
Mailing address
5310 4TH Ave S
Great Falls, MT 59405-3912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021039491 | MO | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1386449122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 4TH AVE S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594053912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 4TH AVE S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594053912",
"telephone_number": "832-431-9324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "WENDEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-17",
"last_updated": "2025-02-17",
"certification_date": "2025-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "MO",
"license": "2021039491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.