Individual provider Active NPI

Michelle Welker, MSN, APRN, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1093104655
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2014042606 Issued in MO
Practice address
3 Doctors Park
Cape Girardeau, MO 63703-4927
Phone
(573) 334-7748
Fax
(573) 334-5724
NPI assigned
Jan 20, 2015
Last updated
Oct 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2014042606 MO Primary

Addresses

Primary practice location

3 Doctors Park
Cape Girardeau, MO 63703-4927

Mailing address

3 Doctors Park
Cape Girardeau, MO 63703-4927
Phone (573) 334-7748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20150311000632 MO Practitioner - Nurse Practitioner 8921324930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Girardeau Urology Associates IncGroup PAC ID 6608967716, 12 clinicians

Practice addresses (Care Compare)

3 Doctors Park
Cape Girardeau, MO 63703-4927
Phone (573) 334-7748

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.19 of 100Reported as group
Quality
66.37
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2014042606MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Girardeau Urology Associates, Inc. CurrentSince Oct 3, 2016 Accepting new patients

Locations

3 Doctors Park
Cpe Girardeau, MO 63703
Phone (573) 334-7748

Interoperability endpoints

  • Direct secure messaging: michellewelker@cgua.allscriptsdirect.net
  • FHIR API: https://app.meldrx.com/api/fhir/uc06039_capegirardeauuroassoc

Organizations & group practices 1

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1093104655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927",
            "telephone_number": "573-334-7748",
            "fax_number": "573-334-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927",
            "telephone_number": "573-334-7748",
            "fax_number": "573-334-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELKER",
        "first_name": "MICHELLE",
        "credential": "MSN, APRN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2014042606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.