Active NPI
Kristen M Wells, MD
- Surgery Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD61564114
- Practice address
- 1100 9TH Ave
Seattle, WA 98101-2756 - Phone
- (206) 341-0060
- NPI assigned
- May 3, 2006
- Last updated
- Nov 8, 2024
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 44601-020 | WI | |
| Surgery Physician | 208600000X | MD61564114 | WA | Primary |
Addresses
Primary practice location
1100 9TH Ave
Seattle, WA 98101-2756
Mailing address
PO Box 741515
Los Angeles, CA 90074-1515
Phone (206) 515-5811
Other practice location 1
16233 Sylvester Rd SW Ste 110
Burien, WA 98166-3044
Phone (206) 901-8980
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780642397 | Medicaid | WI | |
| 2292156 | Medicaid | WA |
Other names 1
- Kristy Wells
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kwells259059@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 Olive Way
Suite 531
Seattle, WA 98101-1873
Phone (206) 223-6762
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61564114 | WA | MD | Surgery Physician |
| 44601-020 | WI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Surgery | Current | Accepting new patients |
| Virginia Mason Medical Center | Surgery | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin | Current | Accepting new patients | |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Surgery | Current | Accepting new patients |
| Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin | Current | Accepting new patients | |
| Prairie Ridge Health, Inc. | Surgery | Past | Accepting new patients |
| Franciscan Medical Group | Past | Accepting new patients | |
| Virginia Mason Medical Center | Past | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
29980 Network Pl
Chicago, IL 60673
380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632
16233 Sylvester Rd SW
Ste 110
Burien, WA 98166
Phone (206) 439-5577
16259 Sylvester Rd SW
Ste 401
Burien, WA 98166
Phone (206) 242-8837
34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
1100 9th Ave
#C6
Seattle, WA 98101
Phone (206) 341-0060
1100 Olive Way
Ste 531
Seattle, WA 98101
Phone (206) 223-6762
4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000
925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860
110 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2351
112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a87187e5-fe2f-447e-bf32-4eeb3954a735/
Organizations & group practices 13
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.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
dba Franciscan Orthopedics-Silverdale
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
dba Aspirus Elcho Clinic
- Rural Health Clinic/Center
- Elcho, WI
- NPI 1831251040
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
dba Virginia Mason Medical Center-Lynnwood Clinic
- Internal Medicine Physician
- Lynnwood, WA
- NPI 1568510774
Surgery
-
dba St Joseph Medical Center
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1821711953
Surgery
-
dba Aspirus Rhinelander Clinic
- Clinic/Center
- Rhinelander, WI
- NPI 1679757751
-
- Critical Access Hospital
- Antigo, WI
- NPI 1639187412
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
dba Franciscan Medical Clinic-Gig Harbor
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
-
dba Virginia Mason LINDEMAN PAVILION PHARMACY
- Clinic Pharmacy
- Seattle, WA
- NPI 1700880291
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burien, WA
- NPI 1558333682
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1780642397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741515",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900741515",
"telephone_number": "206-515-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-341-0060"
}
],
"practiceLocations": [
{
"address_1": "16233 Sylvester Rd SW Ste 110",
"address_purpose": "LOCATION",
"city": "Burien",
"state": "WA",
"postal_code": "981663044",
"country_code": "US",
"telephone_number": "206-901-8980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLS",
"first_name": "KRISTEN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "44601-020",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD61564114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780642397",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2292156",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kwells259059@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "kwells259059@direct-ehr-ssmhc.com",
"address_1": "1626 Tuttle St",
"city": "Baraboo",
"state": "WI",
"country_code": "US",
"postal_code": "539131501",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1626 Tuttle St",
"city": "Baraboo",
"state": "WI",
"country_code": "US",
"postal_code": "539131501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTY",
"last_name": "WELLS",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.