Active NPI
John Michael Wells, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D179467
- Practice address
- 1801 Hickman Rd
Des Moines, IA 50314-1597 - Phone
- (515) 282-2200
- NPI assigned
- May 3, 2022
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | D179467 | IA | Primary |
Addresses
Primary practice location
1801 Hickman Rd
Des Moines, IA 50314-1597
Mailing address
9109 Beechwood Dr
Urbandale, IA 50322-4021
Phone (515) 480-4852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-3121
1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200
Hospital & facility affiliations
- Broadlawns Medical Center
- Mercyone Des Moines Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D179467 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Broadlawns Medical Center | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Broadlawns Medical Center | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1467447508
-
- Anesthesiology Physician
- West Des Moines, IA
- NPI 1194516146
-
- Pharmacy
- Des Moines, IA
- NPI 1013197060
-
- Anesthesiology Physician
- Des Moines, IA
- NPI 1023809076
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1467447508
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1629713680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9109 BEECHWOOD DR",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503224021",
"telephone_number": "515-480-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 HICKMAN RD",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503141597",
"telephone_number": "515-282-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"credential": "DNP, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-03",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D179467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.