Jason L Welch, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP3391542 Issued in FL

Practice address

3951 S Nova Rd
Suite 3
Port Orange, FL 32127-9270

Phone

(386) 256-1444

Fax

(321) 400-1118

NPI assigned

May 25, 2006

Last updated

Jun 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Ocean Dermatology LLCGroup PAC ID 3779729603, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014
• Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068

Merit-based Incentive Payment System (MIPS)

Final score

83.13 of 100Reported as individual

Quality

66.27

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Blue Ocean Dermatology LLC

  • Dermatology Physician
  • Port Orange, FL
  • NPI 1992045272
  Medicare reassignment Care Compare group NPD
• Blue Ocean Deramtology LLC

  • Dermatology Physician
  • Palm Coast, FL
  • NPI 1164309605
  NPD (past)
• Blue Ocean Deramtology LLC

  • Dermatology Physician
  • New Smyrna Beach, FL
  • NPI 1184501611
  NPD (past)
• Blue Ocean Deramtology LLC

  • Dermatology Physician
  • Daytona Beach, FL
  • NPI 1689551129
  NPD (past)
• Blue Ocean Deramtology LLC

  • Dermatology Physician
  • Sebring, FL
  • NPI 1942183132
  NPD (past)
• Dermatology on the Spot, LLC

  • Dermatology Physician
  • Port Orange, FL
  • NPI 1487058533
  NPD (past)
• Mid-Florida Dermatology Associates P.a.

  dba NOLA Dermatology

  • Dermatology Physician
  • Orlando, FL
  • NPI 1619018561
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Health Systems Inc

  dba AdventHealth Daytona Beach

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1063426823
  Care Compare affiliation
• Memorial Health Systems Inc

  dba AdventHealth Daytona Beach

  • Clinical Medical Laboratory
  • Daytona Beach, FL
  • NPI 1104696178

  Hospital

  Care Compare affiliation
• Southeast Volusia Healthcare Corporation

  dba AdventHealth New Smyrna Beach

  • General Acute Care Hospital
  • New Smyrna Beach, FL
  • NPI 1871977942
  Care Compare affiliation

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1396791109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 HOLLY SPRINGS TER",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655938",
            "telephone_number": "386-256-1444",
            "fax_number": "321-400-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 S NOVA RD",
            "address_2": "SUITE 3",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279270",
            "telephone_number": "386-256-1444",
            "fax_number": "321-400-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "JASON",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3391542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008714000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Weidler, LPC, LCMHC
• Heather Weindel
• Mindy A Weingarten, D. C.
• Peter Weisbruch, DDS
• Conner Weiss, DC
• Nitra Hobbs Welch, ARNP
• George Alfred Wennerberg Jr., M.D.
• Tina Wertman, DC
• Baily Westover
• Stephanie Wheeler, PHARMD

• Nurse Practitioner in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.