Kristin Joy Welbourn, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

3600 W 13 Mile Rd
Royal Oak, MI 48073-6711

Phone

(248) 549-0777

Fax

(248) 549-5888

NPI assigned

Nov 22, 2017

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

Medicare fee-for-service enrollment

Enrolled in MI

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

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RM Medical Mi, PLLCGroup PAC ID 0446784847, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• RM Medical Mi, PLLC

  • Multi-Specialty Clinic/Center
  • Shelby Township, MI
  • NPI 1790512168
  Medicare reassignment Care Compare group
• Allergy & Asthma Associates of Mi PC

  • Allergy & Immunology Physician
  • Royal Oak, MI
  • NPI 1871526459
  NPD
• Allergy & Asthma Physicians of Royal Oak PC

  • Allergy & Immunology Physician
  • Royal Oak, MI
  • NPI 1942362694
  NPD (past)

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1497269781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WOODWARD HEIGHTS BLVD",
            "city": "PLEASANT RIDGE",
            "state": "MI",
            "postal_code": "480691246",
            "telephone_number": "248-240-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736711",
            "telephone_number": "248-549-0777",
            "fax_number": "248-549-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBOURN",
        "first_name": "KRISTIN",
        "middle_name": "JOY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan K Weir, MD
• Lauren Weirauch, OTR/L
• Jeffrey S Weisberg, PA
• Ryne Weisenberger, PA-C
• Amy Susan Weiss, PT
• Kel Weller, LPC
• Wellness Family Dentistry
• Wellness NP of Michigan, LLC
• Caitlin Wells
• Jennifer Wells

• Medical Physician Assistant in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.