Individual provider Active NPI

Justin Welborn, FNP - C

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1245653252
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
211467 Issued in LA
Practice address
8080 Bluebonnet Blvd Ste 3200
Baton Rouge, LA 70810-7831
Phone
(225) 924-2424
NPI assigned
Jan 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN124998 LA
Family Nurse Practitioner 363LF0000X 211467 LA Primary

Addresses

Primary practice location

8080 Bluebonnet Blvd Ste 3200
Baton Rouge, LA 70810-7831

Mailing address

8080 Bluebonnet Blvd Ste 3200
Baton Rouge, LA 70810-7831
Phone (225) 924-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20200414002696 LA Practitioner - Nurse Practitioner 7911337092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PCP Urgent Care Holdings LLCGroup PAC ID 5092016816, 47 clinicians
Baton Rouge Orthopaedic Clinic LLCGroup PAC ID 3274446414, 142 clinicians

Practice addresses (Care Compare)

2840 Florida St
Baton Rouge, LA 70802-2721
Phone (225) 224-2402

8080 Bluebonnet Blvd
Suite 1000
Baton Rouge, LA 70810-7827
Phone (225) 924-2424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN124998LAMDRegistered Nurse First Assistant
211467LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Orthopaedic Clinic, LLC CurrentSince Feb 2, 2020 Accepting new patients
Baton Rouge Orthopaedic Clinic CurrentSince Jan 7, 2020 Accepting new patients
PCP Urgent Care Holdings LLC CurrentSince Nov 1, 2021 Accepting new patients
PCP Urgent Care Holdings LLC CurrentSince Nov 1, 2021 Accepting new patients
R.T. Royal Group LLC PastSince Jul 28, 2019 Accepting new patients

Locations

9688 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 408-7587

8080 Bluebonnet Blvd
Ste 1000
Baton Rouge, LA 70810
Phone (225) 408-6633

5420 Plank Rd
Baton Rouge, LA 70805
Phone (225) 228-2452

2840 Florida St
Baton Rouge, LA 70802
Phone (225) 224-2402

8080 Bluebonnet Blvd
Ste 3400
Baton Rouge, LA 70810
Phone (225) 442-3166

8540 Siegen Ln
Ste A
Baton Rouge, LA 70810

8080 Bluebonnet Blvd
Ste 3200
Baton Rouge, LA 70810

8540 Siegen Ln
Ste B
Baton Rouge, LA 70810
Phone (225) 224-8690

409 Oak Plaza Blvd
Brusly, LA 70719
Phone (225) 877-3700

5217 Elysian Fields Ave
New Orleans, LA 70122
Phone (504) 475-8500

17513 Old Jefferson Hwy
Prairieville, LA 70769
Phone (225) 673-7587

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1245653252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD STE 3200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107831",
            "telephone_number": "225-924-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD STE 3200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107831",
            "telephone_number": "225-924-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBORN",
        "first_name": "JUSTIN",
        "credential": "FNP - C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-27",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "LA",
            "license": "RN124998",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "211467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.