MARY B. WELLS (RN, MSN, LMT, AGNP-C) – Adult Health Nurse Practitioner, NPI 1740335975

MARY B. WELLS (RN, MSN, LMT, AGNP-C) is a healthcare provider. based in Orland park, Illinois. specializing in Adult Health Nurse Practitioner. They hold the professional credentials RN, MSN, LMT, AGNP-C. They hold a License No. 209012826 (IL). The NPI Number for MARY B. WELLS (RN, MSN, LMT, AGNP-C) is 1740335975

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MARY B. WELLS (RN, MSN, LMT, AGNP-C)
NPI
1740335975
Phone
(800) 461-9533
Address
11231 DISTINCTIVE DR
Enumeration Date
25 January 2007
Last Update Date
16 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8004619533
Graduation Year
2014 (12 years ago)
PAC ID
3476834839
Group Practice PAC ID
0648379941
Professional Enrollment ID
I20161227001688
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MARY B. WELLS (RN, MSN, LMT, AGNP-C)

  • 11231, Distinctive Drive, Orland Park, Orland Township, Will County, Illinois, 60467, United States

    ORLAND PARK, IL 604679458

    Phone: (800) 461-9533

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $990.

Total Amount is formed as General ($990) + Research ($0) + Ownership ($0) = $990.

Last reported payment date: 2024-04-26 • Largest payer in this snapshot: ABBVIE INC. ($201).

Total Amount

$990

General + Research + Ownership

Payments

52

Total payment records

General Amount

$990

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161227001688INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4120$0
99214Established patient office or other outpatient visit, 30-39 minutes1812$0
View full utilization report →

Insurance plans in this area (ZIP 60467)

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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: 0648379941View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do I look up MARY B. WELLS (RN, MSN, LMT, AGNP-C) by NPI?
Use NPI 1740335975 when you need to reference MARY B. WELLS (RN, MSN, LMT, AGNP-C) in forms, claims, or directories.
Is MARY B. WELLS (RN, MSN, LMT, AGNP-C) active in the national directory?
MARY B. WELLS (RN, MSN, LMT, AGNP-C)'s public NPI profile is in an active state.
Does MARY B. WELLS (RN, MSN, LMT, AGNP-C) list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for MARY B. WELLS (RN, MSN, LMT, AGNP-C). Clinical services aligned with this taxonomy classification.
Where does public data place MARY B. WELLS (RN, MSN, LMT, AGNP-C)?
The snapshot lists Orland Park, Illinois for MARY B. WELLS (RN, MSN, LMT, AGNP-C); download NPPES for the complete set.
What if Orland Park, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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