Active NPI
Ann M Weltin, APNP, CNMW
- Family Nurse Practitioner
- Dubuque, IA
National Provider Identifier
1346290491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 339-033
- Practice address
- 1690 Elm St Ste 300
Dubuque, IA 52001-3679 - Phone
- (563) 690-2850
- Fax
- (563) 557-8488
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 106813-032 | WI | |
| Family Nurse Practitioner | 363LF0000X | 116338A | IA | |
| Family Nurse Practitioner | 363LF0000X | 339-033 | WI | Primary |
Addresses
Primary practice location
1690 Elm St Ste 300
Dubuque, IA 52001-3679
Mailing address
2968 W 32ND St
Dubuque, IA 52001-1025
Phone (563) 590-6302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43841900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339 | WI | MD | Clinical Social Worker |
| 106813-032 | WI | MD | Midwife |
| 116338A | IA | MD | Family Nurse Practitioner |
| 339-033 | WI | MD | Family Nurse Practitioner |
Interoperability endpoints
- aweltin637308@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1346290491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2968 W 32ND ST",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520011025",
"telephone_number": "563-590-6302",
"fax_number": "563-557-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 ELM ST STE 300",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520013679",
"telephone_number": "563-690-2850",
"fax_number": "563-557-8488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELTIN",
"first_name": "ANN",
"middle_name": "M",
"credential": "APNP, CNMW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WI",
"license": "106813-032",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "116338A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "339-033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43841900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.