Individual provider Active NPI

Daniel Patrick Welch, AGNP-C

  • Gerontology Nurse Practitioner
  • Coos Bay, OR
National Provider Identifier
1497396394
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
903574 Issued in MS
Practice address
1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone
(541) 269-8111
NPI assigned
Oct 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 903574 MS Primary

Addresses

Primary practice location

1775 Thompson Rd
Coos Bay, OR 97420-2125

Mailing address

144 Burnham Rd
Brandon, MS 39042-2534
Phone (769) 798-0919

Other practice location 1

1915 White Ave
Knoxville, TN 37916-2305
Phone (865) 331-1421

Other identifiers 1

IdentifierTypeStateIssuer
Q112475MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address welch.daniel.patrick@covenanthealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, CT, WA, OR, TN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20191102000138 MS Practitioner - Nurse Practitioner 2466784947
I20231117002028 CT Practitioner - Nurse Practitioner 2466784947 Reassigns benefits to 1 organization
I20250114002325 WA Practitioner - Nurse Practitioner 2466784947 Reassigns benefits to 1 organization
I20251016004616 OR Practitioner - Nurse Practitioner 2466784947 Reassigns benefits to 1 organization
I20260612002374 TN Practitioner - Nurse Practitioner 2466784947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Area Hospital DistrictGroup PAC ID 2163331000, 117 clinicians
Thompson Oncology GroupGroup PAC ID 0941246771, 65 clinicians

Practice addresses (Care Compare)

1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (541) 269-8280

1915 White Ave
Knoxville, TN 37916-2300
Phone (865) 541-1720

Hospital & facility affiliations

  • Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Curry General Hospital Hospital, Gold Beach, OR, CCN 381322
  • Southern Coos Hospital & Health Center Hospital, Bandon, OR, CCN 381304
  • Lower Umpqua Hospital District Hospital, Reedsport, OR, CCN 381311

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Dec 13, 2024 Accepting new patients
Bay Area Hospital District CurrentSince Jun 20, 2025 Accepting new patients
Bay Area Hospital District CurrentSince Jun 20, 2025 Accepting new patients
Day Kimball Healthcare, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Day Kimball Healthcare, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Multicare Health System CurrentSince Dec 13, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
University Pathologists, LLC Current Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Interoperability endpoints

  • Direct secure messaging: dwelch216984@secure.stcharleshealthcare.org

Organizations & group practices 9

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 6

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1497396394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 BURNHAM RD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422534",
            "telephone_number": "769-798-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202125",
            "telephone_number": "541-269-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 White Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379162305",
            "country_code": "US",
            "telephone_number": "865-331-1421",
            "fax_number": "865-331-2823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "DANIEL",
        "middle_name": "PATRICK",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-01",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MS",
            "license": "903574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q112475",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "welch.daniel.patrick@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1915 White Ave",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379162305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

Verify at the official NPI Registry.