Daniele J Welvaert, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6921 Issued in MN

Practice address

1037 19TH Ave SW
Willmar, MN 56201-5005

Phone

(320) 214-1100

Fax

(320) 214-1155

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amy R Ellingson MD PAGroup PAC ID 3375694094, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Amy R Ellingson MD PA

  dba Allergy & Asthma Specialty Clinic

  • Allergy Physician
  • Willmar, MN
  • NPI 1295907152
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1124677190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015005",
            "telephone_number": "320-214-1100",
            "fax_number": "320-214-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015005",
            "telephone_number": "320-214-1100",
            "fax_number": "320-214-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELVAERT",
        "first_name": "DANIELE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce E Watland, OD
• Daniel Watts
• Laura Beth Weatherby, PSYD
• Jennifer Marie Webb
• Kelly Weber, OTR/L
• Marny Marie Wenberg, PCA
• Jessica A Wentzell, OD
• Ann Wenzel, PHARMD
• Jim Werner I
• Laurel Wessman, MD

• Family Nurse Practitioner in Willmar, MN
• Providers in Willmar, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.
• 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.