Kelli Anne Welby

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN253588 Issued in MA

Practice address

266 Route 44
Raynham, MA 02767-1403

Phone

(508) 824-1361

NPI assigned

Sep 22, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA, RI2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-County Community Action AgencyGroup PAC ID 0648171181, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: 0215.0004@direct.bvchc.nextgenshare.com
• Direct secure messaging: kelli.welby.p4@direct.bvchc.nextgenshare.com

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.

• Tri-County Community Action Agency

  • Federally Qualified Health Center (FQHC)
  • Johnston, RI
  • NPI 1396780086
  Medicare reassignment Care Compare group NPD
• Carecentral Urgent Care Medical Group PC

  • Urgent Care Clinic/Center
  • Stoughton, MA
  • NPI 1922385319
  Medicare reassignment NPD
• Sturdy Memorial Hospital Inc

  • General Acute Care Hospital
  • Attleboro, MA
  • NPI 1730106162
  Medicare reassignment NPD
• Carecentral Urgent Care Medical Group PC

  • Urgent Care Clinic/Center
  • Halifax, MA
  • NPI 1053119677
  NPD
• Tri-County Community Action Agency

  • Federally Qualified Health Center (FQHC)
  • North Providence, RI
  • NPI 1912328600
  NPD

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1235648163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MERIGAN WAY",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352634",
            "telephone_number": "617-839-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 ROUTE 44",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671403",
            "telephone_number": "508-824-1361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Broad St",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "MA",
            "postal_code": "023241741",
            "country_code": "US",
            "telephone_number": "508-807-5265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1126 Hartford Ave",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029197109",
            "country_code": "US",
            "telephone_number": "401-351-2750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELBY",
        "first_name": "KELLI",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN253588",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN253588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "0215.0004@direct.bvchc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1126 Hartford Ave",
            "city": "Johnston",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029197109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Wal-Mart Stores East, LP
• Nikkia Watson, LICSW
• Patrick Michael Weintraub, LMHC
• Lauren Beth Wenzl, PA-C
• Sandra Lynn Willis, RPT
• Jordan Wilson, PA-C
• Krystal Victoria Winfield
• Candace Wolkowicz, D.M.D.

• Family Nurse Practitioner in Raynham, MA
• Providers in Raynham, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.