Individual provider Active NPI

Sammy Welborn, FNP-C

  • Family Nurse Practitioner
  • Montgomery, TX
National Provider Identifier
1750128138
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1168774 Issued in TX
Practice address
20042 Eva St
Montgomery, TX 77356-2041
Phone
(936) 207-2525
NPI assigned
Jul 11, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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 1168774 TX Primary

Addresses

Primary practice location

20042 Eva St
Montgomery, TX 77356-2041

Mailing address

35 Sam Slott Rd
New Waverly, TX 77358
Phone (936) 662-7594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241002003812 TX Practitioner - Nurse Practitioner 2466983374 Reassigns benefits to 3 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
Houston Carenow Urgent Care PLLCGroup PAC ID 7012291958, 113 clinicians
Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians

Practice addresses (Care Compare)

20042 Eva St
Suite 120
Montgomery, TX 77356-2017
Phone (936) 207-2525

4057 Riley Fuzzel Rd
Spring, TX 77386-4632
Phone (281) 602-0450

813 W Montgomery St
Suite 300
Willis, TX 77378-8683
Phone (936) 249-6271

9595 Six Pines Dr
Suite 1400
The Woodlands, TX 77380-1535
Phone (346) 478-1615

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Urgent Care PLLC CurrentSince Nov 1, 2025 Accepting new patients
Houston Carenow Urgent Care PLLC CurrentSince Jun 5, 2025 Accepting new patients
Methodist Carenow Urgent Care PLLC CurrentSince Oct 12, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3150 Gulf Fwy S
Dickinson, TX 77539
Phone (832) 720-6345

1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860

300 Northpark Dr
Kingwood, TX 77339
Phone (281) 310-8445

10422 Research Forest Dr
Magnolia, TX 77354
Phone (281) 394-4936

20042 Eva St
Ste 120
Montgomery, TX 77356
Phone (936) 207-2525

2907 Broadway St
Pearland, TX 77581
Phone (281) 925-1970

2510 Smith Ranch Rd
Ste 102
Pearland, TX 77584
Phone (346) 439-7481

12840 W Interstate 10
Ste 101
San Antonio, TX 78249
Phone (210) 817-8490

20780 US Highway 281 N
San Antonio, TX 78258
Phone (210) 963-8445

19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD
  • Direct secure messaging: swelborn767167@memorialhermann.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1750128138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SAM SLOTT RD",
            "city": "NEW WAVERLY",
            "state": "TX",
            "postal_code": "77358",
            "telephone_number": "936-662-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20042 EVA ST",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773562041",
            "telephone_number": "936-207-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBORN",
        "first_name": "SAMMY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-11",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1168774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

Verify at the official NPI Registry.