Individual provider Active NPI

Lisa Danielle Welcher, FNP

  • Family Nurse Practitioner
  • Independence, OH
National Provider Identifier
1275036667
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175837 Issued in VA
Practice address
6150 Oak Tree Blvd
Independence, OH 44131-6917
Phone
(800) 897-9177
NPI assigned
Mar 13, 2018
Last updated
Mar 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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 0024175837 VA Primary

Addresses

Primary practice location

6150 Oak Tree Blvd
Independence, OH 44131-6917

Mailing address

2512 Spring Bridge PL
Sandston, VA 23150-4409
Phone (804) 514-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180614002244 VA Practitioner - Nurse Practitioner 3678828654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Care Health Services PCGroup PAC ID 0042382640, 3 clinicians

Practice addresses (Care Compare)

1714 E Hundred Rd
Suite 101
Chester, VA 23836-3310
Phone (804) 530-5293

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024175837VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Care Health Services PC CurrentSince Sep 10, 2018 Accepting new patients

Locations

1714 E Hundred Rd
Ste 101
Chester, VA 23836
Phone (804) 530-5293

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1275036667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 SPRING BRIDGE PL",
            "city": "SANDSTON",
            "state": "VA",
            "postal_code": "231504409",
            "telephone_number": "804-514-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 OAK TREE BLVD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316917",
            "telephone_number": "800-897-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCHER",
        "first_name": "LISA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.