Individual provider Active NPI

Ryan Michael Wells, PHARM.D., M.D.

  • Dermatology Physician
  • Meridian, ID
National Provider Identifier
1710997200
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M-16045 Issued in ID
Practice address
1618 S Millenium Way Ste 100
Meridian, ID 83642-6457
Phone
(208) 884-3376
Fax
(208) 884-0858
NPI assigned
Aug 8, 2006
Last updated
May 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M-16045 ID
Dermatology Physician 207N00000X M-16045 ID Primary
Pharmacist 183500000X 15081 AL

Addresses

Primary practice location

1618 S Millenium Way Ste 100
Meridian, ID 83642-6457

Mailing address

1618 S Millenium Way Ste 100
Meridian, ID 83642-6457
Phone (208) 884-3376

Other practice location 1

895 N 6th E
Mountain Home, ID 83647-2207
Phone (208) 587-8401

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rwells@adawest.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210906000015 ID Practitioner - Internal MedicinePractitioner - Dermatology 8224309612 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Dermatology
Education
University of Alabama School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ada West Dermatology, P.C.Group PAC ID 1153341532, 26 clinicians
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians

Practice addresses (Care Compare)

1618 S Millenium Way
Suite 100
Meridian, ID 83642-6457
Phone (208) 884-3376

895 N 6TH
Mountain Home, ID 83647-2207
Phone (208) 587-8401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
70.07
Promoting interoperability
100
Improvement activities
40
Cost
55.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision33
Removal of skin lesions758
Removal of nail tissue1-10
Skin biopsy179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
15081ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain West Derm-Blackhart, PLLC Dermatology CurrentSince Oct 1, 2021 Accepting new patients
Ada West Dermatology, PC Dermatology CurrentSince Jul 1, 2023 Accepting new patients
Mountain West Derm-Blackhart, PLLC Dermatology CurrentSince Oct 1, 2021 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Sep 23, 2022 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Sep 23, 2022 Accepting new patients
Mountain West Derm - Blackhart PLLC Dermatology Past Accepting new patients

Locations

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

3100 E Barber Valley Dr
Boise, ID 83716
Phone (208) 884-3376

7733 W Emerald St
Boise, ID 83704
Phone (208) 376-4777

1618 S Millenium Way
Ste 100
Meridian, ID 83642
Phone (208) 884-3376

4574 N Ten Mile Rd
Ste 120
Meridian, ID 83646
Phone (208) 884-3376

895 N 6th E
Mtn Home, ID 83647
Phone (208) 580-2661

Interoperability endpoints

  • Direct secure messaging: rwells@adawest.emadirect.md

Organizations & group practices 6

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 4

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1710997200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 S MILLENIUM WAY STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426457",
            "telephone_number": "208-884-3376",
            "fax_number": "208-884-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 S MILLENIUM WAY STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426457",
            "telephone_number": "208-884-3376",
            "fax_number": "208-884-0858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 N 6th E",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "ID",
            "postal_code": "836472207",
            "country_code": "US",
            "telephone_number": "208-587-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-16045",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ID",
            "license": "M-16045",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "15081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwells@adawest.emadirect.md",
            "affiliation": "N",
            "address_1": "1618 S Millenium Way Ste 100",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836426457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.