Jeanette L Welker, RN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200650163NP Issued in OR

Practice address

1200 Executive Pkwy
Suite 360
Eugene, OR 97401-2114

Phone

(541) 344-4594

Fax

(541) 686-6295

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oregon Coast Spine Institute, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Coos Bay, OR
  • NPI 1629098157
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1033217575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EXECUTIVE PKWY",
            "address_2": "STE 360",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012169",
            "telephone_number": "541-759-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EXECUTIVE PKWY",
            "address_2": "SUITE 360",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012114",
            "telephone_number": "541-344-4594",
            "fax_number": "541-686-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELKER",
        "first_name": "JEANETTE",
        "middle_name": "L",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "N-14409 NP-207A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200650163NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace E Welch
• Kalli Marcel Welch, D.C.
• Melissa Bee Welch, RN
• Timothy B Welch, MD, DDS
• Corrina Welding
• Kenneth Jay Welker, MD
• Well Aware Integrative Care LLC
• Well Aware Therapy, LLC
• Well Balanced
• Well Balanced Mind

• Family Nurse Practitioner in Eugene, OR
• Providers in Eugene, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.