Individual provider Active NPI

Devin James Welker, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1255976858
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
232489 Issued in AZ
Practice address
4135 S Power Rd Ste 120
Mesa, AZ 85212-3626
Phone
(480) 892-7000
Fax
(480) 545-7001
NPI assigned
Nov 7, 2019
Last updated
Aug 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 232489 AZ Primary

Addresses

Primary practice location

4135 S Power Rd Ste 120
Mesa, AZ 85212-3626

Mailing address

9225 N 3Rd St Ste 102
Phoenix, AZ 85020-2455
Phone (602) 362-2983

Other practice location 1

9225 N 3rd St Ste 102
Phoenix, AZ 85020-2455
Phone (602) 362-2983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200331003240 AZ Practitioner - Nurse Practitioner 0143659821 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Apr 26, 2021 Accepting new patients
Good Health Medical, PLLC CurrentSince Apr 26, 2021 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Innovative Primary Care LLC CurrentSince Feb 13, 2023 Accepting new patients
Aloha Cardiology P.C. PastSince Feb 13, 2023 Accepting new patients

Locations

2915 E Baseline Rd
Ste 101
Gilbert, AZ 85234
Phone (480) 776-0626

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 455-7444

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GABFCD/Endpoint/GABFCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1255976858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 N 3RD ST STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202455",
            "telephone_number": "602-362-2983",
            "fax_number": "480-565-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123626",
            "telephone_number": "480-892-7000",
            "fax_number": "480-545-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9225 N 3rd St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850202455",
            "country_code": "US",
            "telephone_number": "602-362-2983",
            "fax_number": "480-565-4552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELKER",
        "first_name": "DEVIN",
        "middle_name": "JAMES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-07",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "232489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.