Individual provider Active NPI

Amy Sue Welch, CFNP

  • Nurse Practitioner
  • Caldwell, OH
National Provider Identifier
1154434512
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP07624 Issued in OH
Practice address
44525 Marietta Rd
Caldwell, OH 43724-9209
Phone
(740) 732-6851
Fax
(740) 732-7425
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP07624 OH Primary

Addresses

Primary practice location

44525 Marietta Rd
Caldwell, OH 43724-9209

Mailing address

44525 Marietta Rd
Caldwell, OH 43724-9209
Phone (740) 732-6851

Other identifiers 1

IdentifierTypeStateIssuer
0160856MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040216000402 OH Practitioner - Nurse Practitioner 2769377290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

44525 Marietta Rd
Caldwell, OH 43724-9209
Phone (740) 732-6851

Hospital & facility affiliations

  • Absolute Home Health Home health agency, Caldwell, OH, CCN 367593
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039
  • Southeastern Ohio Regional Medical Center Hospital, Cambridge, OH, CCN 360203
  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
  • Selby General Hospital Hospital, Marietta, OH, CCN 361319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP07624OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Welch Urgent Care & Wellness Center LLC CurrentSince Dec 1, 2011 Accepting new patients
Pajka Eye Center Inc Past Accepting new patients
Brunswick Eye and Contact Lens PastSince Sep 9, 2009 Accepting new patients

Locations

44525 Marietta Rd
Caldwell, OH 43724
Phone (740) 732-6851

Interoperability endpoints

  • Direct secure messaging: amy.welch.1@8466.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8466/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1154434512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44525 MARIETTA RD",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "437249209",
            "telephone_number": "740-732-6851",
            "fax_number": "740-732-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44525 MARIETTA RD",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "437249209",
            "telephone_number": "740-732-6851",
            "fax_number": "740-732-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "AMY",
        "middle_name": "SUE",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP07624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160856",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, OH

Sources for this page

Verify at the official NPI Registry.