Crystal Rene Welch, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Munford, TN
NPI 1417705245 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1417705245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 35497 (TN)
- Practice address
- 92 Nob Hill CV
Munford, TN 38058-5910 - Phone
- (901) 484-2693
- NPI assigned
- May 7, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
Practice addresses (Care Compare)
1618 Hwy 51 S
Suite Ab
Covington, TN 38019-3237
Phone (931) 332-0961
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241107000554 | TN | Practitioner - Nurse Practitioner | 4587198056 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients |
Locations
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
1618 Highway 51 S
Ste Ab
Covington, TN 38019
Phone (931) 332-0961
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 35497 | TN | Yes |
Addresses
Primary practice location
92 Nob Hill CV
Munford, TN 38058-5910
Mailing address
92 Nob Hill CV
Munford, TN 38058-5910
Phone (901) 484-2693
Other providers in Munford, TN
- Turner Family Dentistry PLLC
- John Wooten Turner
- Uwem Udofia
- Walgreen Co
- Michael Wayne Ward
- Amber Williams
- Ying Ying Wong
All providers in Munford, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.