Lorraine C Novich-Welter, MD

Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Preston, ID

NPI 1497741383 · NPPES record last updated Aug 13, 2026

Key facts

NPI
1497741383
Entity type
Individual (NPI type 1)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
M-10473 (ID)
Practice address
64 N 1St E Ste 200
Preston, ID 83263-1326
Phone
(208) 852-3662
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
Yes

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physical Medicine and Rehabilitation
Education
Medical College of Wisconsin, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Utah Adult Services (1,758 clinicians)

Practice addresses (Care Compare)

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 213-2995

Hospital & facility affiliations

  • University of Utah Hospital and Clinics Hospital · Salt Lake City, UT · CCN 460009

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100 (group)
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in UT, ID
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050810001161 UT Practitioner - Physical Medicine and Rehabilitation 6608805577 Reassigns benefits to 1 organization
I20090318000254 ID Practitioner - Physical Medicine and Rehabilitation
Practitioner - Other (Physician)
6608805577

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5924248-1205UTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current
since Nov 1, 2016
Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services Current
since Nov 1, 2016
Accepting new patients
Bronson Lakeview Hospital Past Accepting new patients

Locations

175 N Medical Dr
Slc, UT 84112
Phone (801) 581-6908

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: lnovichwelter45822@direct.med.utah.edu

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X M-10473 ID Yes
Physical Medicine & Rehabilitation Physician 208100000X 5924248-1205 UT

Addresses

Primary practice location

64 N 1St E Ste 200
Preston, ID 83263-1326

Mailing address

64 N 1St E Ste 200
Preston, ID 83263-1326
Phone (208) 852-3662

Other practice location 1

44 N 1st E
Preston, ID 83263-1326
Phone (208) 852-0137

Other practice location 2

2380 N 400 E
North Logan, UT 84341-6000
Phone (435) 713-1350

Other identifiers

IdentifierTypeStateIssuer
11004941OtherIDMEDICARE PTAN

Other names

  • Lori CN Welter Professional name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address lnovichwelter45822@direct.med.utah.edu Direct UNIVERSITY OF UTAH

Other providers in Preston, ID

All providers in Preston, ID · Physical Medicine & Rehabilitation Physician in Idaho

Sources for this page

Verify at the official NPI Registry.