TAYLOR MARIE WELLS MD
NPI 1013596998
Dermatology in Peoria, IL
About Taylor Marie Wells Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAYLOR MARIE WELLS MD (NPI 1013596998) is an individual dermatology provider in Peoria, Illinois, licensed in Virginia (0101286334) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Taylor Marie Wells Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Taylor Wells reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61614
- Reassigned Medicare billing, Illinois enrollment
- 31 clinicians in this Medicare group
Mattoon, IL 61938
- Reassigned Medicare billing, Illinois enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA, IL 61614
PEORIA, IL 61614
PEORIA, IL 61614
PEORIA, IL 61614
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Taylor Wells's NPI number?
The NPI number for Taylor Wells is 1013596998. It was assigned to this individual provider in the NPPES registry on April 6, 2021.
Where is Taylor Wells located?
Taylor Wells practices at 4909 N Glen Park Place Rd, Peoria, IL 61614. The listed phone number is (309) 712-4193.
What is Taylor Wells's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Taylor Wells enrolled in Medicare?
Yes. Taylor Wells is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Taylor Wells's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Wells reassigns Medicare benefits to 2 organizations: Soderstrom Dermatology Center S C (Peoria, IL) and Vitalskin Medical Group Il PLLC (Mattoon, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taylor Wells's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Taylor Wells was last updated on November 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Taylor Marie Wells, MD · NPI 1013596998
Dermatology physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since April 6, 2021.
## Identity
- **NPI:** 1013596998 (Entity type: Individual)
- **Enumerated:** April 6, 2021
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 0101286334 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4909 N GLEN PARK PLACE RD, Peoria, IL 61614-4676
- **Phone:** (309) 712-4193
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Soderstrom Dermatology Center S C (NPI 1710931670, Peoria, IL); Vitalskin Medical Group Il PLLC (NPI 1063030252, Mattoon, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Meharry Medical College School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** November 1, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1013596998) · Data from the CMS NPPES public registry.