Stacey Maxine Wells, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

Q2410 Issued in TX

Practice address

1315 St Joseph Pkwy Ste 1400
Houston, TX 77002-8237

Phone

(832) 617-0319

Fax

(281) 727-3490

NPI assigned

May 10, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Stacey M Fulton Former name

Medicare fee-for-service enrollment

Enrolled in TX2 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

Specialty

HospitalistAlso: Internal Medicine

Education

Boston University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Houston in Patient Physician Associates PLLCGroup PAC ID 5698951168, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: swells71523@direct.kelsey-seybold.com

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.

• Houston in Patient Physician Associates PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Sugar Land, TX
  • NPI 1871892646
  Medicare reassignment Care Compare group NPD
• Hospital Medicine Associates of TX PA

  • Hospitalist Physician
  • Pearland, TX
  • NPI 1538520218

  Internal Medicine

  Medicare reassignment NPD
• Kelsey-Seybold Medical Group, PLLC

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1013915255

  Internal Medicine

  Medicare reassignment NPD
• Lonestar Hospital Medicine Associates, PA

  • Hospitalist Physician
  • Mansfield, TX
  • NPI 1518237429
  Medicare reassignment
• The Methodist Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1548387418
  NPD (past)

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

• The Methodist Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1548387418
  Care Compare affiliation

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1578855466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SHADOW CREEK PKWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847298",
            "telephone_number": "713-442-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028237",
            "telephone_number": "832-617-0319",
            "fax_number": "281-727-3490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10701 Vintage Preserve Pkwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770702158",
            "country_code": "US",
            "telephone_number": "713-442-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 St Joseph Pkwy Ste 1507",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770028232",
            "country_code": "US",
            "telephone_number": "713-650-6556",
            "fax_number": "713-650-6838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "STACEY",
        "middle_name": "MAXINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "Q2410",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q2410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345428204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "FULTON",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kim Denise Wells
• Kimberly Wells
• Lakeshia Wells, MS, BCBA, LBA
• Regina Denise Wells, MD
• Richard Trey Wells
• Tanya Wells
• Tiffany Wells
• Valeska Andree Wells, D.O.
• Wellspace Therapy PLLC
• Wellspring Addiction Recovery LLC

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.

Verify at the official NPI Registry.