Individual provider Active NPI

Tessa Marie Welniak, DNP

  • Family Nurse Practitioner
  • Ord, NE
National Provider Identifier
1639911340
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
115413 Issued in NE
Practice address
2707 L St Ste 1
Ord, NE 68862-1275
Phone
(308) 728-4202
Fax
(308) 728-3500
NPI assigned
Jun 12, 2024
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 115413 NE Primary

Addresses

Primary practice location

2707 L St Ste 1
Ord, NE 68862-1275

Mailing address

2707 L St Ste 1
Ord, NE 68862-1275
Phone (308) 728-4202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20240705001080 NE Practitioner - Nurse Practitioner 6002350774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley County HospitalGroup PAC ID 7810808250, shared by 8 NPIs, 15 clinicians

Practice addresses (Care Compare)

2707 L St
Ord, NE 68862-1275
Phone (308) 728-4200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley County Hospital CurrentSince Jun 19, 2024 Accepting new patients
Valley County Hospital Current Accepting new patients
Valley County Hospital CurrentSince Jun 19, 2024 Accepting new patients

Locations

2707 L St
Ord, NE 68862
Phone (308) 728-4200

2707 L St
Ste 1
Ord, NE 68862
Phone (308) 728-4200

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1639911340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 L ST STE 1",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621275",
            "telephone_number": "308-728-4202",
            "fax_number": "308-728-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 L ST STE 1",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621275",
            "telephone_number": "308-728-4202",
            "fax_number": "308-728-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELNIAK",
        "first_name": "TESSA",
        "middle_name": "MARIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "115413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ord, NE

Sources for this page

Verify at the official NPI Registry.