MATTHEW K WELLS (FNP, PMHNP) – Family Nurse Practitioner, NPI 1407112204
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for MATTHEW K WELLS (FNP, PMHNP)
2703 RUNNING HORSE RD.
PLATTE CITY, MO 640797077
Phone: (816) 858-7050
Fax: (816) 858-7055
Type: Mailing
17844 E 23RD ST S
INDEPENDENCE, MO 640571840
Phone: (816) 254-3652
Fax: (417) 761-5065
Type: Location
1300 E BRADFORD PKWY
SPRINGFIELD, MO 658044264
Phone: (417) 761-5011
Fax: (417) 761-5011
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120601000380 | I | Nurse Practitioner | MO | TBD |
| I20230322000520 | I | Nurse Practitioner | IL | TBD |
| I20250930002055 | I | Nurse Practitioner | NM | TBD |
| I20250930004127 | I | Nurse Practitioner | AR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 12 | $0 |
Insurance plans in this area (ZIP 64079)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MO | 83036 | Hemoglobin A1C level | 18 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MO | |
| P S Y C H I A T R Y | MO | |
| Mental Health Counselor | MO | |
| Psychiatry, Neuropsychiatry | MO | |
| - | TX | |
| - | MO | |
| - | MO | |
| Mental Health Counselor | MO | |
| Clinical Psychologist | MO | |
| Clinical Psychologist | MO |
Reviews
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