Active NPI
Ryan Michael Wells, PHARM.D., M.D.
- Dermatology Physician
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- M-16045
- 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, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Alabama School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 70.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 55.38
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 33 |
| Removal of skin lesions | 758 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 179 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15081 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain West Derm-Blackhart, PLLC | Dermatology | Current | Accepting new patients |
| Ada West Dermatology, PC | Dermatology | Current | Accepting new patients |
| Mountain West Derm-Blackhart, PLLC | Dermatology | Current | Accepting new patients |
| Rural Physicians Group-Pannu PLLC | Internal Medicine | Current | Accepting new patients |
| Rural Physicians Group-Pannu PLLC | Internal Medicine | Current | 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
- 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.
-
- Dermatology Physician
- Meridian, ID
- NPI 1518973338
-
- Hospitalist Physician
- Greenwood Village, CO
- NPI 1861808719
ID, Internal Medicine
-
dba Dermatology Clinic of Idaho
- Dermatology Physician
- Boise, ID
- NPI 1548758501
-
- Dermatology Physician
- Tigard, OR
- NPI 1316656994
-
- Hospitalist Physician
- Greenwood Village, CO
- NPI 1891236584
Internal Medicine
-
dba Advanced Dermatology & Skin Surgery
- Dermatology Physician
- Spokane Valley, WA
- NPI 1013557933
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Elmore
- Ambulance
- Mountain Home, ID
- NPI 1477954204
Hospital
-
dba St Lukes Elmore Medical Center
- Critical Access Hospital
- Mountain Home, ID
- NPI 1699013565
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
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
- Wellness Grove Chiropractic, PLLC
- Wellpoint Dental
- Wells & Bell (Advanced Clinical Trauma Services)
- Becky J Wells, PAC
- Gregory L Wells, M.D.
- Jessica Louise Wenzel, MD, MPH
- April D. West, P.A.
- Nathan Scott West, HIS
- Taylor West, DNP, APRN-CNP
- Western Healthcare Services of Idaho, Inc. (Family Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.