Active NPI
Paige Wells, PA-C
- Physician Assistant
- Jupiter, FL
National Provider Identifier
1740787183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9111025
- Practice address
- 4600 Military TRL Ste 107
Jupiter, FL 33458-4811 - Phone
- (561) 427-2000
- NPI assigned
- Apr 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 9111025 | FL | |
| Physician Assistant | 363A00000X | 9111025 | FL | Primary |
Addresses
Primary practice location
4600 Military TRL Ste 107
Jupiter, FL 33458-4811
Mailing address
805 N Olive Ave Apt 406
West Palm Beach, FL 33401-3739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9111025 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark E Pomper MD PA | Past | Accepting new patients | |
| Ciocca Health Group PA | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1740787183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 N OLIVE AVE APT 406",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 MILITARY TRL STE 107",
"city": "JUPITER",
"state": "FL",
"postal_code": "334584811",
"telephone_number": "561-427-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "PAIGE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-11",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "9111025",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9111025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.