Individual provider Active NPI

Laura L Welborn, ARNP

  • Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1265403661
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
45087 Issued in KS
Practice address
2200 SW 6TH Ave
Ste 104
Topeka, KS 66606-1707
Phone
(785) 354-8518
Fax
(785) 354-1255
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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 45087 KS Primary

Addresses

Primary practice location

2200 SW 6TH Ave
Ste 104
Topeka, KS 66606-1707

Mailing address

2200 SW 6TH Ave
Ste 104
Topeka, KS 66606-1707
Phone (785) 354-8518

Other identifiers 2

IdentifierTypeStateIssuer
500024979OtherRR MEDICARE
100375530BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20040729001396 KS Practitioner - Nurse Practitioner 9638149297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kansas School of Med (KC/Wich/Sal), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas Medical Clinic PAGroup PAC ID 4981592334, 50 clinicians

Practice addresses (Care Compare)

2200 SW 6TH Ave
Suite 104
Topeka, KS 66606-1707

2200 SW 6TH St
Topeka, KS 66606-1707
Phone (785) 354-8518

Hospital & facility affiliations

  • University of Kansas Health System - St Francis Campus Hospital, Topeka, KS, CCN 170016
  • Coffey County Hospital Hospital, Burlington, KS, CCN 171385

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
80.11
Promoting interoperability
97
Improvement activities
40
Cost
72.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45087KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Medical Clinic PA Nurse Practitioner CurrentSince Aug 15, 2003 Accepting new patients
Kansas Medical Clinic PA PastSince Jan 1, 1990 Accepting new patients
Kansas Medical Clinic, PA PastSince Jan 1, 1990 Accepting new patients

Locations

2200 SW 6th Ave
Ste 104
Topeka, KS 66606
Phone (785) 354-8518

2200 SW 6th Ave
Topeka, KS 66606
Phone (785) 295-0956

Interoperability endpoints

  • Direct secure messaging: lwelborn191320@ahs.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJICCA

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 2

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1265403661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SW 6TH AVE",
            "address_2": "STE 104",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061707",
            "telephone_number": "785-354-8518",
            "fax_number": "785-354-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SW 6TH AVE",
            "address_2": "STE 104",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061707",
            "telephone_number": "785-354-8518",
            "fax_number": "785-354-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBORN",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "500024979",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100375530B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.