AMY ELIZABETH WELLS – Dermatology Physician, NPI 1356927396

AMY ELIZABETH WELLS is a healthcare provider. based in Bryn mawr, Pennsylvania. specializing in DERMATOLOGY. They hold a License No. MD490225 (PA). The NPI Number for AMY ELIZABETH WELLS is 1356927396

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
AMY ELIZABETH WELLS
NPI
1356927396
Phone
(610) 525-5028
Address
919 CONESTOGA RD STE 106
Enumeration Date
21 March 2021
Last Update Date
9 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
6105255028
Graduation Year
2021 (5 years ago)
PAC ID
8820504731
Group Practice PAC ID
8123098324
Professional Enrollment ID
I20250718000859
Address ID
PA190101352BR919XXRDXX311
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

808 DERMATOLOGY in PA

Provider Addresses for AMY ELIZABETH WELLS

  • 919 CONESTOGA RD STE 106

    BRYN MAWR, PA 190101352

    Phone: (610) 525-5028

    Type: Mailing

  • 55 FRUIT ST

    BOSTON, MA 021142621

    Phone: (321) 987-4780

    Type: Location

  • 2415 PIMLICO LN

    MELBOURNE, FL 329342855

    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.

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: 2025-07-18

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
I20250718000859IDermatologyPATBD

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.

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

Insurance plans in this area (ZIP 19010)

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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: 8123098324View full group profile
NameSpecialtyState
D E R M A T O L O G YPA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
-PA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
Physician AssistantPA
D E R M A T O L O G YPA

Reviews

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Frequently asked questions

What is the registry number for AMY ELIZABETH WELLS?
The registry entry for AMY ELIZABETH WELLS shows NPI 1356927396.
Quick check: is AMY ELIZABETH WELLS active?
Public NPPES data shows AMY ELIZABETH WELLS with an active NPI status right now.
Which specialty label fits AMY ELIZABETH WELLS?
NPPES ties AMY ELIZABETH WELLS to Dermatology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to AMY ELIZABETH WELLS?
The directory associates AMY ELIZABETH WELLS with Bryn Mawr, Pennsylvania. Check all listed addresses for suites or satellite offices.
Who maintains AMY ELIZABETH WELLS's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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