Individual provider Active NPI

Debbie Welch, NP-C

  • Family Nurse Practitioner
  • Stevensville, MT
National Provider Identifier
1194118836
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-194006 Issued in MT
Practice address
715 Main St
Stevensville, MT 59870-2846
Phone
(406) 777-5522
Fax
(406) 777-1175
NPI assigned
Mar 5, 2015
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95001662 CA
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-194006 MT Primary

Addresses

Primary practice location

715 Main St
Stevensville, MT 59870-2846

Mailing address

PO Box 12
Liberty Lake, WA 99019-0012
Phone (406) 777-5522

Other practice location 1

2310 West Ave Y8
Acton, CA 93510
Phone (805) 573-1675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20201210002282 ID Practitioner - Nurse Practitioner 5597012898

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95001662CAMDFamily Nurse Practitioner
NUR-APRN-LIC-194006MTMDFamily Nurse Practitioner

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1194118836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190012",
            "telephone_number": "406-777-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702846",
            "telephone_number": "406-777-5522",
            "fax_number": "406-777-1175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 West Ave Y8",
            "address_purpose": "LOCATION",
            "city": "Acton",
            "state": "CA",
            "postal_code": "93510",
            "country_code": "US",
            "telephone_number": "805-573-1675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "DEBBIE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001662",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-194006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MT

Sources for this page

Verify at the official NPI Registry.