Individual provider Active NPI

Roger D Wells, PA-C

  • Physician Assistant
  • Lexington, NE
National Provider Identifier
1508842469
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
376 Issued in NE
Practice address
1201 N Erie St
Lexington, NE 68850-1571
Phone
(308) 324-5651
NPI assigned
Dec 21, 2005
Last updated
Aug 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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 376 NE Primary

Addresses

Primary practice location

1201 N Erie St
Lexington, NE 68850-1571

Mailing address

PO Box 980
Lexington, NE 68850-0980
Phone (308) 324-5651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20100423000684 NE Practitioner - Physician Assistant 1759418601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Regional Health CenterGroup PAC ID 2860415874, 25 clinicians

Practice addresses (Care Compare)

1201 N Erie St
Lexington, NE 68850-1560
Phone (308) 324-5651

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
376NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Regional Health Center Physician Assistant CurrentSince Sep 1, 2019 Accepting new patients
Lexington Regional Health Center CurrentSince Sep 1, 2019 Accepting new patients
Lexington Regional Health Center Past Accepting new patients
Howard County Medical Clinic Past Accepting new patients

Locations

1105 N Erie St
Lexington, NE 68850
Phone (308) 324-8308

1201 N Erie St
Lexington, NE 68850
Phone (308) 324-5651

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1508842469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688500980",
            "telephone_number": "308-324-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N ERIE ST",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501571",
            "telephone_number": "308-324-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ROGER",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NE

Sources for this page

Verify at the official NPI Registry.