TAYLOR MARIE WELLS (MD) – Dermatology Physician, NPI 1013596998

TAYLOR MARIE WELLS (MD) is a healthcare provider. based in Peoria, Illinois. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 0101286334 (VA). The NPI Number for TAYLOR MARIE WELLS (MD) is 1013596998

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR MARIE WELLS (MD)
NPI
1013596998
Phone
Not provided
Address
4909 N GLEN PARK PLACE RD
Enumeration Date
6 April 2021
Last Update Date
1 November 2025

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
3096747546
Graduation Year
2021 (5 years ago)
PAC ID
4688159510
Group Practice PAC ID
2062432651
Professional Enrollment ID
I20260330001178
Address ID
IL616144676PE4909XRDXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

703 DERMATOLOGY in IL

Provider Addresses for TAYLOR MARIE WELLS (MD)

  • 4909 N GLEN PARK PLACE RD

    PEORIA, IL 616144676

    Phone:

    Type: Mailing

  • 2041 GEORGIA AVE NW

    WASHINGTON, DC 200600001

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61614)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062432651View full group profile
NameSpecialtyState
-IL
D E R M A T O L O G YIL
Plastic And Reconstructive SurgeryIL
D E R M A T O L O G YIA
Physician AssistantIL
-IL
Nurse PractitionerIL
P A T H O L O G YIL
Physician AssistantIL
-CA

Reviews

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Frequently asked questions

How do payers reference TAYLOR MARIE WELLS (MD)?
For TAYLOR MARIE WELLS (MD), use NPI 1013596998 as the unique 10-digit identifier.
Would TAYLOR MARIE WELLS (MD) appear as active to a payer?
You can treat TAYLOR MARIE WELLS (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with TAYLOR MARIE WELLS (MD)?
TAYLOR MARIE WELLS (MD)'s record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TAYLOR MARIE WELLS (MD)?
Travel planning: use Peoria, Illinois as the reference point for TAYLOR MARIE WELLS (MD), then confirm.
When was this NPI issued?
Enumeration for TAYLOR MARIE WELLS (MD) is noted as April 6, 2021 where the registry provides it.

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