Individual provider Active NPI

Anthony Joseph Wells, PA

  • Physician Assistant
  • Lansing, MI
National Provider Identifier
1467774984
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004710 Issued in MI
Practice address
1540 Lake Lansing Rd
Suite G02
Lansing, MI 48912-3756
Phone
(517) 913-6650
Fax
(517) 913-6677
NPI assigned
Feb 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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 5601004710 MI Primary

Addresses

Primary practice location

1540 Lake Lansing Rd
Suite G02
Lansing, MI 48912-3756

Mailing address

1540 Lake Lansing Rd
Suite G02
Lansing, MI 48912-3756
Phone (517) 913-6650

Other identifiers 7

IdentifierTypeStateIssuer
1058901OtherMIMCLAREN HEALTH PLAN-MEDICAID
0653303520OtherMIBLUE CROSS BLUE SHIELD
0N61290015OtherMIMEDICARE PLUS BLUE/MEDICARE ADVANTAGE
1058901OtherMIMCLAREN HEALTH ADVANTAGE
P00833807OtherMIRAILROAD MEDICARE
1058901OtherMIMCLAREN HEALTH PLAN-COMMERCIAL
9073520OtherMIAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100629000533 MI Practitioner - Physician Assistant 6204876972 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Greater LansingGroup PAC ID 7214833466, 96 clinicians

Practice addresses (Care Compare)

1540 Lake Lansing Rd
Lansing, MI 48912-3757

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2426AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Greater Lansing Physician Assistant CurrentSince Jan 1, 2015 Accepting new patients
McLaren Medical Group CurrentSince Jan 30, 2023 Accepting new patients
McLaren Medical Group Past Accepting new patients
McLaren Greater Lansing Past Accepting new patients

Locations

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1035 Charlevoix Dr
Ste 200
Grand Ledge, MI 48837
Phone (517) 626-3100

405 W Greenlawn Ave
Ste 305
Lansing, MI 48910
Phone (517) 483-4780

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

1540 Lake Lansing Rd
Ste G2
Lansing, MI 48912
Phone (517) 913-6650

1540 Lake Lansing Rd
Ste 107
Lansing, MI 48912
Phone (517) 913-3800

1540 Lake Lansing Rd
Ste 201
Lansing, MI 48912
Phone (517) 913-3900

2510 Kerry St
Ste 200
Lansing, MI 48912
Phone (517) 273-2706

3520 Forest Rd
Ste 200
Lansing, MI 48910

5525 S Martin Luther King Jr Blvd
Lansing, MI 48911
Phone (517) 913-3888

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 3

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": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1467774984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 LAKE LANSING RD",
            "address_2": "SUITE G02",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123756",
            "telephone_number": "517-913-6650",
            "fax_number": "517-913-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 LAKE LANSING RD",
            "address_2": "SUITE G02",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123756",
            "telephone_number": "517-913-6650",
            "fax_number": "517-913-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-25",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN-MEDICAID",
            "identifier": "1058901",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0653303520",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PLUS BLUE/MEDICARE ADVANTAGE",
            "identifier": "0N61290015",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH ADVANTAGE",
            "identifier": "1058901",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00833807",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN-COMMERCIAL",
            "identifier": "1058901",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9073520",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.