Active NPI
Mark Lee Wells, PA
- Physician Assistant
- Chickasha, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1099
- Practice address
- 411 W Grand Ave
Chickasha, OK 73018-5862 - Phone
- (405) 224-0053
- NPI assigned
- Feb 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1099 | OK | Primary |
Addresses
Primary practice location
411 W Grand Ave
Chickasha, OK 73018-5862
Mailing address
411 W Grand Ave
Chickasha, OK 73018-5862
Phone (405) 224-0053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500
11601 S Western Ave
Oklahoma City, OK 73170-5823
Phone (405) 691-5208
16205 N Pennsylvania Ave
Edmond, OK 73013-7325
Phone (405) 705-5700
2109 S Santa Fe Ave
Moore, OK 73160-2807
Phone (405) 213-0256
301 S Mustang Rd
Yukon, OK 73099-6704
Phone (405) 324-1911
3617 NW Expressway
Oklahoma City, OK 73112-4405
Phone (405) 835-2771
46 E 15TH St
Edmond, OK 73013-4301
Phone (405) 844-5210
5300 SE 29TH St
Oklahoma City, OK 73115-4702
Phone (405) 835-2770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1099 | OK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Health Allset Urgent Care LLC | Current | Accepting new patients | |
| Supreme Healthcare PLLC | Past | Accepting new patients | |
| Oca MWC LP | Past | Accepting new patients | |
| Integris Ambulatory Care C Orporation | Past | Accepting new patients | |
| Retail Clinics, LLC | Past | Accepting new patients | |
| Tricity Family Physicians, PC | Past | Accepting new patients | |
| Mercy Health Services Inc. | Past | Accepting new patients | |
| Primacare LP | Past | Accepting new patients |
Locations
3224 S Broadway
Ste 112
Edmond, OK 73013
Phone (405) 427-4941
Interoperability endpoints
- mark.wellspac.p8@direct.nextcare.nextgenshare.com
Organizations & group practices 9
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.
-
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
-
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1164107256
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1326076027
-
- Medical Specialty Clinic/Center
- Yukon, OK
- NPI 1255398251
-
- Family Medicine Physician
- Midwest City, OK
- NPI 1417105321
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1104155985
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1447577804
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1326631862
-
- Primary Care Clinic/Center
- Newcastle, OK
- NPI 1558343640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1821060849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 W GRAND AVE",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730185862",
"telephone_number": "405-224-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 W GRAND AVE",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730185862",
"telephone_number": "405-224-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "MARK",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.