Mary Caitlin Wells, FNP - Medicare Nurse Practitioner in Portland, OR

Mary Caitlin Wells, FNP is a medicare enrolled "Nurse Practitioner - Family" in Portland, Oregon. She went to Wayne State University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Wallace Medical Concern and her current practice location is 12710 Se Division St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 988-5155.

Mary Caitlin Wells is licensed to practice in Oregon (license number 201502244NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922485135.

Contact Information

Mary Caitlin Wells, FNP
12710 Se Division St,
Portland, OR 97236-3134
(503) 988-5155
(503) 988-5185

Map and Direction




Provider's Profile

Full NameMary Caitlin Wells
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location12710 Se Division St, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Caitlin Wells attended and graduated from Wayne State University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1922485135
  • Provider Enumeration Date: 04/27/2015
  • Last Update Date: 06/08/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9234443227
  • Enrollment ID: I20150804006136

Medical Identifiers

Medical identifiers for Mary Caitlin Wells such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922485135NPI-NPPES
096511MedicaidOR
22959MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 201502244NP-PP (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Wallace Medical Concern23656808655

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Caitlin Wells allows following entities to bill medicare on her behalf.
Entity NameMultnomah County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609914787
PECOS PAC ID: 6608771787
Enrollment ID: O20031203000025
Entity NameThe Wallace Medical Concern
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841592110
PECOS PAC ID: 2365680865
Enrollment ID: O20150224001107

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Caitlin Wells is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Caitlin Wells, FNP
12710 Se Division St,
Portland, OR 97236-3134

Ph: (503) 988-5155
Mary Caitlin Wells, FNP
12710 Se Division St,
Portland, OR 97236-3134

Ph: (503) 988-5155

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.