ETHAN JAMES WELLS PA-C
NPI 1427876721
Physician Assistant in Palos Heights, IL

NPI Status: Active since September 26, 2024

Contact Information

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463
Phone: (708) 923-4200
Fax: (708) 923-4201

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  • Individual
  • Male
  • Years of Experience 2
  • Physician Assistant
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About ETHAN WELLS

This page provides the complete NPI Profile along with additional information for Ethan Wells, a primary care provider established in Palos Heights, Illinois with a medical specialization in Physician Assistant and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1427876721 assigned on September 2024. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and his NPI record was last updated May 2025.

NPI
1427876721
Provider Name
ETHAN JAMES WELLS PA-C
Gender
Male
Entity Type
Individual
Location Address
12251 S 80TH AVE STE 1520 PALOS HEIGHTS, IL 60463
Location Phone
(708) 923-4200
Location Fax
(708) 923-4201
Mailing Address
12251 S 80TH AVE STE 1520 PALOS HEIGHTS, IL 60463
Mailing Phone
(708) 923-4200
Mailing Fax
(708) 923-4201
Medical School Name
OTHER
Graduation Year
2024
Is Sole Proprietor?
Yes
Enumeration Date
09-26-2024
Last Update Date
05-06-2025
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A primary care provider (PCP) like Ethan Wells sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Medicare Participation & PECOS Enrollment Status

Ethan Wells is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Ethan Wells is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3072038496

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250418000302

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60463 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $94.06
  • Minimum New Patient Price $60.08
  • Maximum New Patient Price $183.39
  • Average New Patient Copayment $23.51
  • Minimum New Patient Copayment $15.02
  • Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $74.8
  • Minimum Established Patient Price $18.97
  • Maximum Established Patient Price $148.12
  • Average Established Patient Copayment $18.7
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427876721
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24471671274
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 6 + 7 + 1 + 2 + 7 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1427876721 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

THOMAS F. GUTCHEWSKY APN, CNP

Nurse Practitioner

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

MRS. LINDA LEE HOMMES APRN, CNS

Nurse Practitioner

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

GINA ANGELA HONG PA-C

Physician Assistant

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

MS. COLLEEN B BILECKI APRN, CNS

Nurse Practitioner

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

NICOLE ANNES PA-C

Physician Assistant

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

DR. GABRIEL ABRAHAM WALLACE MD

Surgery

(Vascular Surgery)

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

DAVID REYES PA-C

Physician Assistant

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

RACHEL BREAULT PA-C

Physician Assistant

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

FRANJO SIRIC MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

DR. MAITRAYEE SUNDARESAN VADALI MD

Internal Medicine

(Cardiovascular Disease)

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

ARYELLE LEAH SCHICHT DNP

Nurse Practitioner

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

KRISTEN EL-AMIR PA-C

Physician Assistant

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

KATHRYN E VELA GNP

Nurse Practitioner

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

DANIEL L CARDWELL PA-C

Physician Assistant

(Surgical)

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

RAY SAWAQED MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

DR. MANSOUR RAZMINIA M.D.

Internal Medicine

(Clinical Cardiac Electrophysiology)

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

LAUREN ALEXANDRA FARINA MD

Internal Medicine

(Advanced Heart Failure and Transplant Cardiology)

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

WILLIAM J REEVES PA-C

Physician Assistant

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

MADISON JONES APRN, CNP

Nurse Practitioner

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-5300

KALEB JOHN SCHWINEFUS PA-C

Physician Assistant

12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
ZIP 60463

(708) 923-4200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427876721, enumerated as an "individual" on September 26, 2024.

The provider is located at 12251 S 80TH AVE STE 1520 PALOS HEIGHTS, IL 60463 and the phone number is (708) 923-4200.

Physician Assistant with taxonomy code 363A00000X.