MR. MARK R WELLS PAC
NPI 1407004344
Physician Assistant - Medical in Stroudsburg, PA

Q: What is Mark Wells's NPI number?

The NPI number for Mark Wells is 1407004344. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Q: What is Mark Wells's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mark Wells was last updated on May 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 04, 2008PECOS Enrolled

208 LIFELINE RD, STE 201, STROUDSBURG, PA 18360(570) 476-6700(570) 476-0124 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Mark R Wells Pac NPPES

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

MR. MARK R WELLS PAC (NPI 1407004344) is an individual medical provider in Stroudsburg, Pennsylvania, licensed in Pennsylvania (MA053486) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407004344

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. MARK R WELLSCredential: PAC

Location Address208 LIFELINE RD, STE 201Stroudsburg, PA 18360-7566

Mailing Address208 Lifeline Rd, Ste 201Stroudsburg, PA 18360-7566 · (570) 476-6700 · Fax (570) 476-0124

Phone(570) 476-6700

Fax(570) 476-0124

Sole ProprietorNo

Enumeration DateSeptember 4, 2008

Last NPPES UpdateMay 21, 2013

✔ NPI 1407004344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA053486

208 LIFELINE RD, Stroudsburg, PA 18360

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Mark R Wells Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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