NPIMap

Individual provider Active NPI

Paula Marie Welsh, NP-C

  • Nurse Practitioner
  • Asheboro, NC
National Provider Identifier
1649622853
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5016708 Issued in NC
Practice address
375 Sunset Ave
Asheboro, NC 27203-5611
Phone
(336) 625-4215
Fax
(336) 626-0919
NPI assigned
Jul 12, 2016
Last updated
Sep 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5016708 NC Primary
Family Nurse Practitioner 363LF0000X 33340803 NY

Addresses

Primary practice location

375 Sunset Ave
Asheboro, NC 27203-5611

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-1331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161101001366 NY Practitioner - Nurse Practitioner 5193003804 Reassigns benefits to 1 organization
I20220902000255 NC Practitioner - Nurse Practitioner 5193003804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Buffalo School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians

Practice addresses (Care Compare)

375 Sunset Ave
Asheboro, NC 27203-5611
Phone (336) 625-4215

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33340803NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Health Hospital, Inc. CurrentSince Nov 9, 2019 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Sep 26, 2022 Accepting new patients
Community Memorial Hospital CurrentSince Aug 21, 2016 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Crouse Health Hospital Inc CurrentSince Nov 9, 2019 Accepting new patients
Community Memorial Hospital CurrentSince Aug 21, 2016 Accepting new patients
Wake Forest Health Network LLC CurrentSince Sep 26, 2022 Accepting new patients
Wake Forest Health Network LLC Past Accepting new patients

Locations

375 Sunset Ave
Asheboro, NC 27203
Phone (336) 625-4215

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

164 Broad St
Hamilton, NY 13346
Phone (315) 648-6411

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

Organizations & group practices 8

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 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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1649622853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 SUNSET AVE",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035611",
            "telephone_number": "336-625-4215",
            "fax_number": "336-626-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSH",
        "first_name": "PAULA",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5016708",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33340803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.