Wellspace Primary Care PLLC
NPI 1104647817 · Family Medicine Physician · Wellesley, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wellspace Primary Care PLLC is a Family Medicine Physician organization in Wellesley, MA (NPI 1104647817).
Provider details
- NPI number
- 1104647817
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Dick, Family Medicine Physician(714) 553-3887
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-24
- Last updated
- 2025-02-13
- Certified
- 2025-02-13
Frequently asked questions
- What is Wellspace Primary Care PLLC's NPI number?
- Wellspace Primary Care PLLC's National Provider Identifier (NPI) is 1104647817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellspace Primary Care PLLC?
- Wellspace Primary Care PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wellspace Primary Care PLLC located?
- Wellspace Primary Care PLLC's practice location on file with NPPES is 65 Walnut St Ste 500, Wellesley, MA 02481-2112.
- What is Wellspace Primary Care PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wellspace Primary Care PLLC is (781) 304-8236.
- Does Wellspace Primary Care PLLC accept Medicare?
- Wellspace Primary Care PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wellspace Primary Care PLLC?
- The authorized official listed on Wellspace Primary Care PLLC's NPPES record is Michael Dick, Family Medicine Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wellspace Primary Care PLLC's NPI active?
- Yes — Wellspace Primary Care PLLC's NPI (1104647817) is active in the NPPES registry as of the last update on 2025-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.