Individual provider Active NPI

Jason Wells, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Grand Rapids, MI
National Provider Identifier
1497791610
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
4301511234 Issued in MI
Practice address
4100 Lake Dr SE
Grand Rapids, MI 49546-8292
Phone
(616) 267-8244
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 4301511234 MI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301511234 MI Primary

Addresses

Primary practice location

4100 Lake Dr SE
Grand Rapids, MI 49546-8292

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referringpulm@orclinic.direct-ci.net The Oregon Clinic PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120710000357 OR Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9436218823 Reassigns benefits to 7 organizations
I20240624001457 MI Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9436218823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spectrum Health Primary Care PartnersGroup PAC ID 4587568647, 2,283 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115

1009 W Green St
Corewell Health Medical Group West
Hastings, MI 49058-1710
Phone (269) 945-1212

145 Michigan St NE
4100 Corewell Health Medical Group West
Grand Rapids, MI 49503-2567
Phone (616) 486-6314

1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000

1845 Holton Rd
Muskegon, MI 49445-1531
Phone (616) 885-5000

230 W Oak St
Fremont, MI 49412-1526

4100 Lake Dr SE
Grand Rapids, MI 49546-8292

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

5 Atkinson Dr
302 Corewell Health Medical Group West
Ludington, MI 49431-1906
Phone (616) 267-8700

588 E Lakewood Blvd FL
Holland, MI 49424-2023

605 Oak St
Big Rapids, MI 49307-2048
Phone (231) 592-4270

615 S Bower St
Greenville, MI 48838-2614
Phone (616) 225-6522

8333 Felch St
Zeeland, MI 49464-2608

Hospital & facility affiliations

  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Corewell Health Big Rapids Hospital Hospital, Big Rapids, MI, CCN 230093
  • Corewell Health Ludington Hospital Hospital, Ludington, MI, CCN 230110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301511234MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon Internal Medicine CurrentSince Oct 10, 2012 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Jul 29, 2024 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 10, 2012 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Jul 29, 2024 Accepting new patients
Providence Health & Services Oregon Internal Medicine CurrentSince May 3, 2016 Accepting new patients
Providence Health & Services Oregon Internal Medicine Current Accepting new patients
Providence Health & Services - Oregon Internal Medicine Current Accepting new patients
Providence Health & Services Oregon CurrentSince May 3, 2016 Accepting new patients
The Oregon Clinic, PC CurrentSince Jul 1, 2012 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 10, 2012 Accepting new patients
Providence Health & Services - Oregon Internal Medicine CurrentSince Apr 25, 2022 Accepting new patients
The Oregon Clinic PC Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Providence Health & Services Oregon CurrentSince Jun 23, 2018 Accepting new patients
Providence Health & Services - Oregon Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 10, 2012 Accepting new patients
Providence Health & Services - Oregon Internal Medicine Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jun 23, 2018 Accepting new patients
Critical Care Pulmonary and Sleep Associates Professional LLP Internal Medicine PastSince Jul 1, 2002 Accepting new patients
Critical Care Pulmonary and Sleep Associates Professional LLP Critical Care Medicine PastSince Jun 8, 2025 Accepting new patients

Locations

4100 Lake Dr SE
Grand Rapids, MI 49546
Phone (616) 267-7400

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1675 E Mount Garfield Rd
Muskegon, MI 49444
Phone (231) 799-8880

200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

1500 Division St
Oregon City, OR 97045
Phone (503) 646-1631

10330 SE 32nd Ave
Ste 205
Portland, OR 97222
Phone (503) 513-8950

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

1111 NE 99th Ave
Ste 201
Portland, OR 97220
Phone (503) 962-1020

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

5050 NE Hoyt St
Ste 655
Portland, OR 97213
Phone (503) 239-6673

1111 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 216-5435

847 NE 19th Ave
Ste 300
Portland, OR 97232

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

Interoperability endpoints

  • Direct secure messaging: jwells2657976@epic00.corewelldirect.org
  • Direct secure messaging: jwells239416@oc.providencedirect.org

Organizations & group practices 21

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.

View all 21

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1497791610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468292",
            "telephone_number": "616-267-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301511234",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301511234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referringpulm@orclinic.direct-ci.net",
            "affiliation": "Y",
            "affiliationName": "The Oregon Clinic PC",
            "address_1": "1111 NE 99th Ave Ste 200",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972209442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.