Individual provider Active NPI

Danette Lea Wells, PA-C

  • Physician Assistant
  • Suttons Bay, MI
National Provider Identifier
1982773875
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
650 S West Bay Shore Dr
Suttons Bay, MI 49682-9587
Phone
(231) 271-5161
Fax
(231) 271-3590
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MI Primary

Addresses

Primary practice location

650 S West Bay Shore Dr
Suttons Bay, MI 49682-9587

Mailing address

650 S West Bay Shore Dr
Suttons Bay, MI 49682-9587
Phone (231) 271-5161

Other practice location 1

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7777

Other names 1

  • Danette Lea Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041001000067 MI Practitioner - Physician Assistant 7911976337 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kalkaska Memorial Health Center CurrentSince Jul 6, 2023 Accepting new patients
Kalkaska Memorial Health Center CurrentSince Jul 6, 2023 Accepting new patients
Sound Inpatient Physicians-Michigan PLLC CurrentSince Jun 10, 2019 Accepting new patients
Hospitalist Medicine Physicians of Michigan, PLLC CurrentSince Jul 16, 2019 Accepting new patients
Kalkaska Memorial Health Center Physician Assistant Past Accepting new patients
Indigo Services, PLC Past Accepting new patients
Mark a Priest DO PC Past Accepting new patients

Locations

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Organizations & group practices 8

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1982773875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S WEST BAY SHORE DR",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496829587",
            "telephone_number": "231-271-5161",
            "fax_number": "231-271-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S WEST BAY SHORE DR",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496829587",
            "telephone_number": "231-271-5161",
            "fax_number": "231-271-3590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DANETTE",
        "middle_name": "LEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANETTE",
            "last_name": "BROWN",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suttons Bay, MI

Sources for this page

Verify at the official NPI Registry.