Individual provider Active NPI

Jamie Lea Welch, CRNP, FNP-C

  • Family Nurse Practitioner
  • La Plata, MD
National Provider Identifier
1447936125
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC005616 Issued in MD
Practice address
103 Centennial St Ste C
La Plata, MD 20646-5985
Phone
(301) 934-9111
Fax
(301) 934-9333
NPI assigned
Jun 26, 2023
Last updated
Aug 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC005616 MD Primary

Addresses

Primary practice location

103 Centennial St Ste C
La Plata, MD 20646-5985

Mailing address

103 Centennial St Ste B
La Plata, MD 20646-5985
Phone (301) 200-3032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20230914001006 MD Practitioner - Nurse Practitioner 5890159529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

103 Centennial St
Suite C
La Plata, MD 20646-5985
Phone (301) 609-4846

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC005616MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Dec 22, 2025 Accepting new patients
La Plata Pediatrics & Family Health, LLC CurrentSince Oct 8, 2023 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Dec 22, 2025 Accepting new patients
La Plata Pediatrics & Family Health, LLC CurrentSince Jul 31, 2023 Accepting new patients
University of Maryland Community Medical Group, Inc. Past Accepting new patients
University of Maryland Community Medical Group, Inc. PastSince Jul 2, 2023 Accepting new patients

Locations

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

103 Centennial St
Ste B
La Plata, MD 20646
Phone (301) 200-3032

103 Centennial St
Ste C
La Plata, MD 20646
Phone (301) 934-9111

103 Centennial St
Unit 203C
La Plata, MD 20646
Phone (301) 609-4846

920 Elkridge Landing Rd
Fl 4
Linthicum Heights, MD 21090
Phone (443) 462-5010

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1447936125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CENTENNIAL ST STE B",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465985",
            "telephone_number": "301-200-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CENTENNIAL ST STE C",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465985",
            "telephone_number": "301-934-9111",
            "fax_number": "301-934-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "JAMIE",
        "middle_name": "LEA",
        "credential": "CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC005616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

Verify at the official NPI Registry.