Individual provider Active NPI

Wells Isaac Mangrum, M.D.

  • Diagnostic Radiology Physician
  • Eau Claire, WI
National Provider Identifier
1871768457
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
55085 Issued in WI
Practice address
3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Phone
(715) 839-9280
NPI assigned
Apr 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 55085 WI Primary
Diagnostic Radiology Physician 2085R0202X 135225 NC

Addresses

Primary practice location

3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016

Mailing address

2403 Folsom St
Eau Claire, WI 54703-2435

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wmangrum83368@ewd.direct.hshs.org Direct St Vincent Hospital-Hospital Sisters-Third Order of St Francis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110421000588 WI Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Interventional Radiology 1850576620 Reassigns benefits to 5 organizations
I20110429000613 MN Practitioner - Diagnostic Radiology 1850576620 Reassigns benefits to 1 organization
I20240730002363 WA Practitioner - Diagnostic Radiology 1850576620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology, Nuclear Medicine
Education
Mayo Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakleaf Clinics IncGroup PAC ID 4486831328, 103 clinicians

Practice addresses (Care Compare)

1101 Lake Ave W
Ladysmith, WI 54848-1062
Phone (715) 532-0203

2900 S Wisconsin Ave
Rice Lake, WI 54868-8578
Phone (715) 997-3915

2919 Stout Rd
Menomonie, WI 54751-2313
Phone (715) 309-4451

3213 Stein Blvd
Eau Claire, WI 54701-6946
Phone (715) 836-9242

3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Phone (715) 839-9280

617 W Clairemont Ave
Eau Claire, WI 54701-6223
Phone (715) 834-2788

855 Lakeland Dr
Chippewa Falls, WI 54729-1687
Phone (715) 726-9248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
135225NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Diagnostic Radiology CurrentSince Jun 28, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Tomah Memorial Hospital Inc Diagnostic Radiology CurrentSince Jun 1, 2014 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Jun 1, 2014 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Apr 1, 2011 Accepting new patients
Multicare Health System CurrentSince Jun 28, 2024 Accepting new patients
Oakleaf Clinics Inc CurrentSince Feb 24, 2025 Accepting new patients
Advanced Medical Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Radiology Associates PC Diagnostic Radiology CurrentSince Jul 30, 2024 Accepting new patients
Oakleaf Clinics Inc CurrentSince Feb 24, 2025 Accepting new patients
Medical Xray Consultants, LTD PastSince May 16, 2021 Accepting new patients

Locations

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

7555 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 261-1085

7601 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 484-4475

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

3525 E Calumet St
Appleton, WI 54915
Phone (920) 788-4114

2661 County Highway I
Chippewa Fls, WI 54729
Phone (715) 717-7200

3802 Oakwood Mall Dr
Eau Claire, WI 54701
Phone (715) 831-8130

3213 Stein Blvd
Eau Claire, WI 54701
Phone (715) 552-9784

1720 Harding Ave
Ste 1
Eau Claire, WI 54701
Phone (715) 461-0463

4130 State Road 93
Eau Claire, WI 54701
Phone (715) 830-9507

719 W Hamilton Ave
Ste B
Eau Claire, WI 54701

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

2403 Folsom St
Eau Claire, WI 54703

617 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 834-2788

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

Interoperability endpoints

  • Direct secure messaging: wmangrum304516@direct.emplifyhealth.org
  • Direct secure messaging: wmangrum31492@oakleafmed.gardenplot.direct-ci.com

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1871768457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 FOLSOM ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 OAKWOOD MALL DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013016",
            "telephone_number": "715-839-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGRUM",
        "first_name": "WELLS",
        "middle_name": "ISAAC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "55085",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "135225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wmangrum83368@ewd.direct.hshs.org",
            "affiliation": "Y",
            "endpointDescription": "Direct Address",
            "affiliationName": "St Vincent Hospital-Hospital Sisters-Third Order of St Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "835 S Van Buren St",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543013526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.