Individual provider Active NPI

Matthew K Wells, DNP, FPMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Independence, MO
National Provider Identifier
1407112204
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2012006273 Issued in MO
Practice address
17844 E 23Rd St S
Independence, MO 64057-1840
Phone
(816) 254-3652
Fax
(417) 761-5065
NPI assigned
Apr 5, 2012
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277003667 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 041535588 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 232029 AR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 78961 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2012006273 MO Primary

Addresses

Primary practice location

17844 E 23Rd St S
Independence, MO 64057-1840

Mailing address

2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 761-5011

Other practice location 1

4231 S Hocker Dr
Independence, MO 64055-4723
Phone (816) 254-3652

Other practice location 2

7447 Holmes Rd
Kansas City, MO 64131-1691
Phone (816) 836-6720

Other practice location 3

3401 Berrywood Dr
Columbia, MO 65201-8372
Phone (573) 777-8330

Other practice location 4

201 W 3rd St
Sedalia, MO 65301-4352
Phone (660) 827-2494

Other practice location 5

1795 W Main St
Sedalia, MO 65301-3634
Phone (660) 285-9270

Other practice location 6

1805 E Walnut St
Columbia, MO 65201-6425
Phone (573) 777-7500

Other practice location 7

800 S Park Ave
Springfield, MO 65802-4855
Phone (417) 893-7735

Other practice location 8

1300 E Bradford Pkwy Bldg A
Springfield, MO 65804-4264
Phone (417) 761-5000

Other practice location 9

17421 Medical Center Pkwy
Independence, MO 64057-1805
Phone (816) 455-9975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, NM, AR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20120601000380 MO Practitioner - Nurse Practitioner 1456515444 Reassigns benefits to 3 organizations
I20230322000520 IL Practitioner - Nurse Practitioner 1456515444
I20250930002055 NM Practitioner - Nurse Practitioner 1456515444 Reassigns benefits to 1 organization
I20250930004127 AR Practitioner - Nurse Practitioner 1456515444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Burrell IncGroup PAC ID 4486548625, 217 clinicians
Brightside Medical of Michigan PCGroup PAC ID 9830562776, 90 clinicians

Practice addresses (Care Compare)

1300 E Bradford Pkwy
BLDG a
Springfield, MO 65804-4264
Phone (417) 761-5000

6834 Cantrell Rd
Suite 1066
Little Rock, AR 72207-4135
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
232029ARMDPsychiatric/Mental Health Nurse Practitioner
277003667ILMDPsychiatric/Mental Health Nurse Practitioner
2021027727MOMDPsychiatric/Mental Health Nurse Practitioner
78961NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Family Healthcare, Inc. Current Accepting new patients
Brightside Medical of Michigan PC CurrentSince Sep 1, 2025 Accepting new patients
Burrell, Inc. CurrentSince Jul 26, 2022 Accepting new patients
Burrell, Inc. CurrentSince Jul 26, 2022 Accepting new patients
Preferred Family Healthcare, Inc. CurrentSince Jan 4, 2023 Accepting new patients
State of Missouri CurrentSince Nov 30, 2020 Accepting new patients
State of Missouri CurrentSince Nov 30, 2020 Accepting new patients
State of Missouri Current Accepting new patients
Eleanor Health Professional TX, PLLC CurrentSince Sep 11, 2025 Accepting new patients
Swope Health Services Current Accepting new patients
Swope Health Services CurrentSince Oct 19, 2017 Accepting new patients
Preferred Family Healthcare, Inc. CurrentSince Jan 4, 2023 Accepting new patients
Eleanor Health Professional TX, PLLC CurrentSince Sep 11, 2025 Accepting new patients
Eleanor Health Professional Ma, PLLC PastSince Apr 5, 2021 Accepting new patients

Locations

6834 Cantrell Rd
Little Rock, AR 72207
Phone (501) 291-0420

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

418 S 36th St
Quincy, IL 62301
Phone (217) 224-6300

639 York St
Rm 212
Quincy, IL 62301
Phone (217) 222-6227

1805 E Walnut St
Columbia, MO 65201
Phone (573) 777-7500

17421 Medical Center Pkwy
Independence, MO 64057
Phone (816) 455-9975

17611 E US Highway 24
#H
Independence, MO 64056
Phone (816) 836-6350

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

17886 E 23rd St S
Independence, MO 64057
Phone (816) 836-6705

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

900 E Laharpe St
Kirksville, MO 63501

3505 Frederick Ave
Saint Joseph, MO 64506
Phone (816) 387-2300

1795 W Main St
Sedalia, MO 65301
Phone (660) 285-9270

1300 E Bradford Pkwy
Springfield, MO 65804
Phone (417) 269-5400

1300 E Bradford Pkwy
Bldg A
Springfield, MO 65804
Phone (417) 761-5214

2885 W Battlefield St
Springfield, MO 65807
Phone (417) 751-5000

800 S Park Ave
Springfield, MO 65802
Phone (417) 893-7700

150 Washington Ave
Ste 201
Santa Fe, NM 87501
Phone (505) 204-4788

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1407112204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073952",
            "telephone_number": "417-761-5011",
            "fax_number": "417-761-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17844 E 23RD ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571840",
            "telephone_number": "816-254-3652",
            "fax_number": "417-761-5065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4231 S Hocker Dr",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640554723",
            "country_code": "US",
            "telephone_number": "816-254-3652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7447 Holmes Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641311691",
            "country_code": "US",
            "telephone_number": "816-836-6720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Berrywood Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652018372",
            "country_code": "US",
            "telephone_number": "573-777-8330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Sedalia",
            "state": "MO",
            "postal_code": "653014352",
            "country_code": "US",
            "telephone_number": "660-827-2494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1795 W Main St",
            "address_purpose": "LOCATION",
            "city": "Sedalia",
            "state": "MO",
            "postal_code": "653013634",
            "country_code": "US",
            "telephone_number": "660-285-9270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016425",
            "country_code": "US",
            "telephone_number": "573-777-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Park Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658024855",
            "country_code": "US",
            "telephone_number": "417-893-7735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 E Bradford Pkwy Bldg A",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658044264",
            "country_code": "US",
            "telephone_number": "417-761-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17421 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640571805",
            "country_code": "US",
            "telephone_number": "816-455-9975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MATTHEW",
        "middle_name": "K",
        "credential": "DNP, FPMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277003667",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041535588",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "232029",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "78961",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2012006273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.