NPIMap

Individual provider Active NPI

Mark Wells

  • Family Nurse Practitioner
  • Greensburg, PA
National Provider Identifier
1497905061
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009967 Issued in PA
Practice address
1275 S Main St Ste 103
Greensburg, PA 15601-5385
Phone
(412) 561-7246
NPI assigned
Sep 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP.022431 OH
Family Nurse Practitioner 363LF0000X 0024175708 VA
Family Nurse Practitioner 363LF0000X SP009967 PA Primary

Addresses

Primary practice location

1275 S Main St Ste 103
Greensburg, PA 15601-5385

Mailing address

PO Box 747
Greensburg, PA 15601-0747

Other practice location 1

1907 Lebanon Church Rd
West Mifflin, PA 15122-2432
Phone (412) 561-7246

Other identifiers 1

IdentifierTypeStateIssuer
0024175708OtherVAVIRGINIA

Other names 1

  • Mark Wells Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV, VA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20081105000685 PA Practitioner - Nurse Practitioner 5496814493 Reassigns benefits to 1 organization
I20230118000297 WV Practitioner - Nurse Practitioner 5496814493 Reassigns benefits to 3 organizations
I20260216000890 VA Practitioner - Nurse Practitioner 5496814493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Eugene a Bonaroti MD Fac LLCGroup PAC ID 5092148726, 5 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

2790 Mosside Blvd
Suite 700
Monroeville, PA 15146-2761
Phone (412) 275-0227

Hospital & facility affiliations

  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145
  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP.022431OHMDFamily Nurse Practitioner
SP009967PAMDFamily Nurse Practitioner
0024175708VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jan 5, 2026 Accepting new patients
Eugene a Bonaroti MD Fac LLC CurrentSince Oct 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 3, 2026 Accepting new patients
Matrix Medical Plus CurrentSince Apr 1, 2023 Accepting new patients
Matrix Medical Network of West CurrentSince Oct 8, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1 Aesthetic Way
Ste 110
Greensburg, PA 15601

1 Aesthetic Way
Greensburg, PA 15601
Phone (412) 275-0227

2790 Mosside Blvd
Ste 700
Monroeville, PA 15146
Phone (412) 275-0227

107 Gamma Dr
Ste 110
Pittsburgh, PA 15238
Phone (412) 275-0227

101 Fowler Rd
Warrendale, PA 15086

100 Trich Dr
Ste 2
Washington, PA 15301

100 Trich Dr
Ste 1
Washington, PA 15301
Phone (724) 884-0710

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

209 Washington St W
Charleston, WV 25302
Phone 24852821166

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1497905061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156010747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 S MAIN ST STE 103",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015385",
            "telephone_number": "412-561-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1907 Lebanon Church Rd",
            "address_purpose": "LOCATION",
            "city": "West Mifflin",
            "state": "PA",
            "postal_code": "151222432",
            "country_code": "US",
            "telephone_number": "412-561-7246",
            "fax_number": "412-235-4012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP.022431",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175708",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA",
            "identifier": "0024175708",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "WELLS",
            "credential": "NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.