MRS. KELLIE MARIE WELLS (PA) – Medical Physician Assistant, NPI 1700832987

MRS. KELLIE MARIE WELLS (PA) is a healthcare provider. based in Lansing, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 363AM0700X (MI). The NPI Number for MRS. KELLIE MARIE WELLS (PA) is 1700832987

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLIE MARIE WELLS (PA)
NPI
1700832987
Phone
(517) 484-2760
Address
1200 E MICHIGAN AVE STE 415
Enumeration Date
26 May 2006
Last Update Date
21 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9897900517
Graduation Year
2000 (26 years ago)
PAC ID
6103839675
Group Practice PAC ID
9234552951
Professional Enrollment ID
I20060731000017
Address ID
MI486042847SA4677XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MRS. KELLIE MARIE WELLS (PA)

  • 415, East Michigan Avenue, Stadium District, Lansing, Ingham County, Michigan, 48912, United States

    LANSING, MI 489121897

    Phone: (517) 484-2760

    Fax: (517) 484-9370

    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 7 Open Payments records for all available years, with a total value of $240.

Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.

Last reported payment date: 2023-02-17 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($174).

Total Amount

$240

General + Research + Ownership

Payments

7

Total payment records

General Amount

$240

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-17

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: 2006-07-31

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
I20060731000017IPhysician AssistantMITBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes16765$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes9046$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes7569$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes2613$0
View full utilization report →

Insurance plans in this area (ZIP 48912)

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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: 9234552951View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Physical Medicine And Rehabilitation, Pain ManagementMI
Physician AssistantMI
Nurse PractitionerMI
-MI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. KELLIE MARIE WELLS (PA)?
NPI 1700832987 is assigned to MRS. KELLIE MARIE WELLS (PA) under the national enumeration system.
Is MRS. KELLIE MARIE WELLS (PA) active in the national directory?
MRS. KELLIE MARIE WELLS (PA)'s public NPI profile is in an active state.
What does MRS. KELLIE MARIE WELLS (PA) treat or focus on?
Patients typically see MRS. KELLIE MARIE WELLS (PA) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MRS. KELLIE MARIE WELLS (PA)'s primary listing?
We display Lansing, Michigan because that is what the record indicates for MRS. KELLIE MARIE WELLS (PA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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