Individual provider Active NPI

Jennifer Sue Welch

  • Nurse Practitioner
  • East Liverpool, OH
National Provider Identifier
1417236050
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
12307-NP Issued in OH
Practice address
15613 Pineview Dr
Ste C
East Liverpool, OH 43920-9096
Phone
(330) 382-1422
Fax
(330) 382-1154
NPI assigned
Aug 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 12307-NP OH Primary

Addresses

Primary practice location

15613 Pineview Dr
Ste C
East Liverpool, OH 43920-9096

Mailing address

15613 Pineview Dr
Ste C
East Liverpool, OH 43920-9096
Phone (330) 382-1422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120309000693 OH Practitioner - Nurse Practitioner 6103085170 Reassigns benefits to 1 organization
I20130318000399 PA Practitioner - Nurse Practitioner 6103085170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2201 Park Manor Blvd
Pittsburgh, PA 15205-4819

48462 Bell School Rd
East Liverpool, OH 43920-9625

48462 Bell School Rd C
East Liverpool, OH 43920-9625
Phone (330) 385-5410

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12307-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. Nurse Practitioner CurrentSince Jan 2, 2013 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Nurse Practitioner CurrentSince Jan 6, 2013 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Jan 2, 2013 Accepting new patients
Openloop Healthcare Partners PC Nurse Practitioner Past Accepting new patients
Heritage Valley Medical Group, Inc. Past Accepting new patients

Locations

48462 Bell School Rd
Ste C
East Liverpool, OH 43920
Phone (330) 385-0222

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

273 State Route 288
Ellwood City, PA 16117
Phone (724) 758-7044

Interoperability endpoints

  • Direct secure messaging: jenniferwelch@hvhs.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1313280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1417236050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15613 PINEVIEW DR",
            "address_2": "STE C",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209096",
            "telephone_number": "330-382-1422",
            "fax_number": "330-382-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15613 PINEVIEW DR",
            "address_2": "STE C",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209096",
            "telephone_number": "330-382-1422",
            "fax_number": "330-382-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-14",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "12307-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.