Leann Jean Willis Welch, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200650049NP Issued in OR

Practice address

150 S Wall St
Coos Bay, OR 97420-3233

Phone

(541) 435-7200

Fax

(541) 888-0025

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians

  dba Three Rivers Health Center - Coos Bay

  • Primary Care Clinic/Center
  • Coos Bay, OR
  • NPI 1780755454
  NPD
• Inland Point Senior Estates JV LLC

  • Clinic/Center
  • North Bend, OR
  • NPI 1952595340
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1679523971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S WALL ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974203233",
            "telephone_number": "541-435-7200",
            "fax_number": "541-888-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S WALL ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974203233",
            "telephone_number": "541-435-7200",
            "fax_number": "541-888-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS WELCH",
        "first_name": "LEANN",
        "middle_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200640863RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200650049NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165031",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID# PTAN",
            "identifier": "107658",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "MW1412927",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240703",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Wilkinson
• Bianca Williams, QMHA, PWS
• Stacy Williams
• Taylor Terrell Williams, MSW
• Mary E. Williard, DDS
• Chris Alan Willson
• Anthony L Wilson, CRM
• James A Wilson, RPH
• Rebecca Maria Wilson, CPHT
• Jelena Wittwer, O.T.R.

• Family Nurse Practitioner in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.