Stephanie Ann Welch, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5008115 Issued in NC

Practice address

21000 Torrence Chapel Rd Ste 103B
Cornelius, NC 28031-6850

Phone

(704) 741-1911

NPI assigned

Aug 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Iredell Physician Network LLC

  dba Bremnor Family Medicine

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1780822288
  NPD (past)

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1053669184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 TORRENCE CHAPEL RD STE 103B",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316850",
            "telephone_number": "704-741-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 TORRENCE CHAPEL RD STE 103B",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316850",
            "telephone_number": "704-741-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "005043",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC APRN LINCESE",
            "identifier": "5008115",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Anne Jussila Watterson, DC
• Michelle Larice Webb, OTR
• Scott Brandon Webster, PA
• Cristina Wehner, MTSC,LPCS,CSATS,CHFP
• Kenneth McNeil Welborne, DDS
• Christina A Wescott, MD
• Heather Ann Wesseler, M.S.
• Tyler Martin West, MD
• Sharon E Whalen, DPT
• Wheeler & Son LLC (Language for a Lifetime)

• Family Nurse Practitioner in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.