Staci Welch

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

221131 Issued in OK

Practice address

104 E Shurden Industrial Blvd
Henryetta, OK 74437-7323

Phone

(918) 652-9614

NPI assigned

Jan 11, 2025

Last updated

Jan 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Central Oklahoma Family Health Center, Inc.Group PAC ID 3779643994, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hillcrest Hospital Henryetta Hospital, Henryetta, OK, CCN 370183

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Central Oklahoma Family Health Center, Inc.

  dba East Central Oklahoma Family Health Center, Inc. Pharmacy

  • Federally Qualified Health Center (FQHC)
  • Wetumka, OK
  • NPI 1316196546
  Medicare reassignment Care Compare group NPD
• East Central Oklahoma Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Henryetta, OK
  • NPI 1639636657
  NPD

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

• Ahs Henryetta Hospital LLC

  dba Hillcrest Hospital Henryetta

  • General Acute Care Hospital
  • Henryetta, OK
  • NPI 1720053556
  Care Compare affiliation

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

{
    "created_epoch": "1736553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1760292783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 S OLIPHANT ST",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748485812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E SHURDEN INDUSTRIAL BLVD",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744377323",
            "telephone_number": "918-652-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "STACI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "221131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiger Mountain Recovery Inc.
• Tommy D. Thomas
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0247)
• Alivia Ward
• David Lee Warden, D.D.S.
• Wesley E Parkhurst (Family Medicine Clinic)
• Carol Joy Williams, R.P.T.A.
• Sharon Marie Williams, PTA
• Wilson Public Schools
• Savannah Lyn Winfield, APRN-CNP

• Family Nurse Practitioner in Henryetta, OK
• Providers in Henryetta, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.