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WELLS SURGICAL SERVICES, LLC
NPI 1174863872
Surgery in Jacksonville, FL

Active since February 18, 2013
1201 MONUMENT RD, SUITE 201B, JACKSONVILLE, FL 32225(904) 281-5878(904) 724-9234 Get Directions Write a Review

NPPES record last updated: February 18, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Wells Surgical Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLS SURGICAL SERVICES, LLC (NPI 1174863872) is a healthcare organization registered as a surgery in Jacksonville, Florida and active in the NPI registry since February 2013. The organization lists Carol Patricia Bowen-wells, President, as its authorized official.

NPPES Registry Identity

NPI1174863872
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameWELLS SURGICAL SERVICES, LLC
Location Address1201 MONUMENT RD, SUITE 201BJacksonville, FL 32225-7411
Mailing Address1201 Monument Rd, Suite 201bJacksonville, FL 32225-7411 · (904) 281-5878 · Fax (904) 724-9234
Phone(904) 281-5878
Fax(904) 724-9234
Organization SubpartNo
Authorized OfficialCarol Patricia Bowen-wellsPresident · (904) 281-5878
Enumeration DateFebruary 18, 2013
✔ NPI 1174863872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME104932
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1201 MONUMENT RD, Jacksonville, FL 32225
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wells Surgical Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wells Surgical Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Carol Bowen-Wells, MD
General Surgery
NPI 1174710982
3 SHIRCLIFF WAY SUITE 630
Jacksonville, FL 32204
(904) 281-5878
✔ PECOS✔ Accepts Medicare9.3 mi
Crystal Wade, MSN, AG-ACNP-BC
Nurse Practitioner
NPI 1073173142
12574 FLAGLER CENTER BLVD STE 101
Jacksonville, FL 32258
(904) 674-8037
✔ PECOS14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wells Surgical Services, LLC's NPI number?

The NPI number for Wells Surgical Services, LLC is 1174863872. It was assigned to this organization in the NPPES registry on February 18, 2013.

Where is Wells Surgical Services, LLC located?

Wells Surgical Services, LLC is located at 1201 Monument Rd Suite 201B, Jacksonville, FL 32225. The listed phone number is (904) 281-5878.

What is Wells Surgical Services, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Wells Surgical Services, LLC enrolled in Medicare?

Yes. Wells Surgical Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wells Surgical Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Wells Surgical Services, LLC, in General Surgery and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wells Surgical Services, LLC was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.