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TABATHA SELINA WELLS MD
NPI 1992933923
Family Medicine in Springfield, IL

Active since June 29, 2009PECOS Enrolled
4007 YUCAN DR, SPRINGFIELD, IL 62711(773) 988-3103(217) 771-1844 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2025, Feb 1, 2021, Jul 10, 2018 and 1 more (4 updates tracked since 2017).

About Tabatha Selina Wells Md NPPES

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

TABATHA SELINA WELLS MD (NPI 1992933923) is an individual family medicine provider in Springfield, Illinois, licensed in Illinois (036-129167) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992933923
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTABATHA SELINA WELLSCredential: MD
Location Address4007 YUCAN DRSpringfield, IL 62711-6459
Mailing Address4007 Yucan DrSpringfield, IL 62711-6459 · Fax (217) 771-1844
Phone(773) 988-3103
Fax(217) 771-1844
Sole ProprietorNo
Enumeration DateJune 29, 2009
Last NPPES UpdateDecember 4, 20254 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1992933923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-129167
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4007 YUCAN DR, Springfield, IL 62711
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Other Identifiers 1

Medicaid036129167IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tabatha Selina Wells Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tabatha Wells reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Trustees Of Southern Illinois University
5.0 mi
Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
NPI 1396097960 (217) 757-8100
Board Of Trustees Of The University Of Illinois
65 mi
Pediatrics
1 ILLINI DR
Peoria, IL 61605
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1467425322 (309) 680-8649

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 62711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers15 claims15 services$911.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tabatha Wells's NPI number?

The NPI number for Tabatha Wells is 1992933923. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Tabatha Wells located?

Tabatha Wells practices at 4007 Yucan Dr, Springfield, IL 62711. The listed phone number is (773) 988-3103.

What is Tabatha Wells's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tabatha Wells enrolled in Medicare?

Yes. Tabatha Wells is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tabatha Wells's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tabatha Wells reassigns Medicare benefits to 2 organizations: Board Of Trustees Of Southern Illinois University (Springfield, IL) and Board Of Trustees Of The University Of Illinois (Peoria, 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 Tabatha 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 Tabatha Wells was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.