Kellie Marie Wells, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

363AM0700X Issued in MI

Practice address

1200 E Michigan Ave Ste 415
Lansing, MI 48912-1897

Phone

(517) 484-2760

Fax

(517) 484-9370

NPI assigned

May 26, 2006

Last updated

Jan 21, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M Sohail Jilani MD PLLCGroup PAC ID 9234552951, 10 clinicians

Altea Medical Michigan PLLCGroup PAC ID 3678073988, 9 clinicians

Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kwells882742@direct.hfhs.org

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.

• M Sohail Jilani MD PLLC

  dba Physical Medicine & Rehabilitation of Michigan

  • Physical Medicine & Rehabilitation Physician
  • Saginaw, MI
  • NPI 1518999119
  Medicare reassignment Care Compare group
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  MI

  Medicare reassignment Care Compare group
• Ammar Ghanem MD PLLC

  • Pulmonary Disease Physician
  • Rochester Hills, MI
  • NPI 1346790896
  Medicare reassignment
• Altea Medical Michigan PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Plymouth, MI
  • NPI 1053142000
  Care Compare group
• Edward W Sparrow Hospital Association

  dba University of Michigan Health-Sparrow

  • Adult Health Nurse Practitioner
  • Lansing, MI
  • NPI 1265220438
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1700832987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE STE 415",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121897",
            "telephone_number": "517-484-2760",
            "fax_number": "517-484-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE STE 415",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121897",
            "telephone_number": "517-484-2760",
            "fax_number": "517-484-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KELLIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "363AM0700X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS STATE LICENSE",
            "identifier": "5601004711",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellness Inx
• Adrienne Marie Wells, LMSW
• Anthony Joseph Wells, PA
• Eden Victoria Wells, M.D., MPH
• Gloria Wells, LLMSW
• Wellspring Physician, PC - Mi
• Sterling Nigel Wendt
• Deanna Wennberg, FNP-C
• Lauren Wenzel
• Mary Anne Werkman, DO

• Medical Physician Assistant in Lansing, MI
• Providers in Lansing, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.