Kyle Wells
Individual provider Active NPI Family Medicine Physician · Eudora, KS
NPI 1831682293 · NPPES record last updated Jun 23, 2026
Key facts
- NPI
- 1831682293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-42638 (KS)
- Practice address
- 600 E 20TH St
Eudora, KS 66025-7800 - Phone
- (785) 505-2345
- Fax
- (785) 505-5271
- NPI assigned
- Jun 11, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Jennifer Bacani McKenney, MD, LLC
Fredonia Regional Hospital
Practice addresses (Care Compare)
1525 Madison St
Suite 3
Fredonia, KS 66736-1704
Phone (620) 378-3700
1527 Madison St
Fredonia, KS 66736-1751
Phone (620) 378-2121
Hospital & facility affiliations
- Home Town Health Care
- Fredonia Regional Hospital
- LMH
- Labette Health
- Wilson Medical Center
- Neodesha Care and Rehab
- Fredonia Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200304002396 | KS | Practitioner - Family Practice | 1153670682 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-09528 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Physicians LLC | Family Medicine | Current |
Accepting new patients |
| Lawrence Physicians LLC | Current |
Accepting new patients | |
| Fredonia Regional Hospital | Current |
Accepting new patients | |
| Fredonia Regional Hospital | Current |
Accepting new patients | |
| Oswaldo C Bacani MD Chartered | Current | Accepting new patients | |
| Jennifer Bacani McKenney, MD, LLC | Family Medicine | Current |
Accepting new patients |
| Neodesha Operator, LLC | Past | Accepting new patients | |
| The Internal Medicine Group PA | Past | Accepting new patients |
Locations
600 E 20th St
Ste 200
Eudora, KS 66025
Phone (785) 505-2345
1525 Madison St
Ste 3
Fredonia, KS 66736
Phone (620) 378-2061
1527 Madison St
Fredonia, KS 66736
Phone (316) 378-2121
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0153994b-73fd-40ca-acc3-d43bb5781a7b/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-42638 | KS | Yes |
Addresses
Primary practice location
600 E 20TH St
Eudora, KS 66025-7800
Mailing address
600 E 20TH St
Eudora, KS 66025-7800
Phone (785) 505-2345
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30004649200002 | Medicaid | KS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kyle.wells@direct.lmh.org | Direct |
Other providers in Eudora, KS
- Abbey Vieux-Revell
- Kennedy Marie Wade
- Rachel Walters
- Waving Wheat Dental LLC
- Wellness Life Systems LLC
- Kayla Wilhelm
- Raumie J Wilson
All providers in Eudora, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.