Lori Welke, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085004965 Issued in IL

Practice address

110 W McClure Ave
Peoria, IL 61604-3634

Phone

(309) 419-8996

Fax

(309) 966-3928

NPI assigned

Oct 23, 2007

Last updated

Nov 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4

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.

• Orland Park Orthopedics SC

  • Clinic/Center
  • Peoria, IL
  • NPI 1073081436
  NPD
• Olympia Orthopaedic Associates PLLC

  dba Centralia Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Olympia, WA
  • NPI 1083785398
  NPD (past)
• Vaxclinic, LLC

  • Clinic Pharmacy
  • Charlotte, NC
  • NPI 1730795873
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1326237637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 WICKERSHAM RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113224",
            "telephone_number": "503-956-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W MCCLURE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616043634",
            "telephone_number": "309-419-8996",
            "fax_number": "309-966-3928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 Park Rd Ste 316",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282093289",
            "country_code": "US",
            "telephone_number": "704-755-5656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELKE",
        "first_name": "LORI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004965",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-08166",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Weis, BS, RDN, LDN
• Caleb Michael Weiss
• Arakua Naa Korkoi Welbeck, MD
• Brittany Welch, RNC, MSN, NNP-BC
• Joseph Welch
• Jeffrey Osborn Wellard
• Tara Wellenreiter
• Naomi Wells, PHARM.D.
• Rachel L Wells, SPEECH/LANG PATH
• Taylor Marie Wells, MD

• Physician Assistant in Peoria, IL
• Providers in Peoria, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.