Active NPI
Roger D Wells, PA-C
- Physician Assistant
- Lexington, NE
National Provider Identifier
1508842469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 376
- Practice address
- 1201 N Erie St
Lexington, NE 68850-1571 - Phone
- (308) 324-5651
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70005753 | Other | NE | RAILROAD MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
Practice addresses (Care Compare)
1201 N Erie St
Lexington, NE 68850-1560
Phone (308) 324-5651
Hospital & facility affiliations
- Angels Care Progressive Home Health
- Central Plains Home Health
- Lexington Regional Health Center
- Howard County Medical Center
- Cozad Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 376 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Regional Health Center | Current | Accepting new patients | |
| Lexington Regional Health Center | Physician Assistant | Current | Accepting new patients |
| Lexington Regional Health Center | Current | Accepting new patients | |
| Howard County Medical Clinic | Past | Accepting new patients | |
| Lexington Regional Health Center | Past | Accepting new patients |
Locations
1201 N Erie St
Lexington, NE 68850
Phone (308) 324-5651
1105 N Erie St
Lexington, NE 68850
Phone (308) 324-8308
Organizations & group practices 8
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.
-
- Rural Health Clinic/Center
- Lexington, NE
- NPI 1144888579
Physician Assistant
-
- Rural Health Clinic/Center
- Lexington, NE
- NPI 1104228451
-
- Rural Health Clinic/Center
- Bertrand, NE
- NPI 1093212169
-
- Rural Health Clinic/Center
- Elwood, NE
- NPI 1407211220
-
- Medicare Defined Swing Bed Hospital Unit
- Lexington, NE
- NPI 1699732362
-
- Family Medicine Physician
- Saint Paul, NE
- NPI 1306944558
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cozad, NE
- NPI 1568404564
-
- Home Health Agency
- Grand Island, NE
- NPI 1508006982
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "70005753",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.