Gina M Welch, DNP, FNP-BC, APNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

8600-33 Issued in WI

Practice address

11400 W Lake Park Dr
Milwaukee, WI 53224-3035

Phone

(414) 365-8300

Fax

(414) 365-8330

NPI assigned

Aug 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gina M Thompson Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Horizon Home Care & Hospice, Inc.

  • Home Health Agency
  • Milwaukee, WI
  • NPI 1780687327
  Medicare reassignment NPD
• Molina Care Connections, LLC.

  dba Molina CC

  • Nurse Practitioner
  • Long Beach, CA
  • NPI 1407243223
  NPD
• Dr. Steven M Waldman S.C.

  • Podiatrist
  • Wauwatosa, WI
  • NPI 1376626267
  NPD (past)
• Horizon Home Care & Hospice

  • Home Health Agency
  • Milwaukee, WI
  • NPI 1104257518
  NPD (past)

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1346721867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 W LAKE PARK DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532243035",
            "telephone_number": "414-365-8300",
            "fax_number": "414-365-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 W LAKE PARK DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532243035",
            "telephone_number": "414-365-8300",
            "fax_number": "414-365-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3232 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "530959274",
            "country_code": "US",
            "telephone_number": "262-334-5533",
            "fax_number": "262-355-8152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13111 N Port Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530972416",
            "country_code": "US",
            "telephone_number": "262-478-9478",
            "fax_number": "262-478-9479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "DNP, FNP-BC, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8600-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN - DEPARTMENT OF SAFETY & PROFESSIONAL SERVICES",
            "identifier": "8600-33",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "THOMPSON",
            "middle_name": "M",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin Weitmann
• Benjamin James Weitzel II, PHARM D.
• Jeanette Weix, BSN RN
• Kristin Wejrowski, PHARMD
• Scott Welak, M.D.
• Lydia Elizabeth Welch, APNP
• Pongella Welch
• Boris D Welcher Sr.
• Brianna Weldon
• Well-Rounded, LLC

• Nurse Practitioner in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.

Verify at the official NPI Registry.