Individual provider Active NPI

Jill Anna Welker, PA

  • Physician Assistant
  • Murfreesboro, TN
National Provider Identifier
1871866376
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-472 Issued in AR
Practice address
237 W Northfield Blvd Ste 101
Murfreesboro, TN 37129-0531
Phone
(615) 848-2900
NPI assigned
Feb 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-472 AR Primary

Addresses

Primary practice location

237 W Northfield Blvd Ste 101
Murfreesboro, TN 37129-0531

Mailing address

237 W Northfield Blvd Ste 101
Murfreesboro, TN 37129-0531
Phone (615) 848-2900

Other practice location 1

205 Westport Dr
Suite 1
Cabot, AR 72023-3657
Phone (501) 843-6585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191010001352 TN Practitioner - Physician Assistant 2961644992

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1272 Garrison Dr
Murfreesboro, TN 37129-3175

237 W Northfield Blvd
Suite 101
Murfreesboro, TN 37129-0531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3783TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Tennessee Family Medicine CurrentSince Jul 31, 2019 Accepting new patients
Murfreesboro Medical Clinic, P.a. Current Accepting new patients
Murfreesboro Medical Clinic, P.a. Current Accepting new patients

Locations

237 W Northfield Blvd
Ste 201
Murfreesboro, TN 37129

1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925

237 W Northfield Blvd
Ste 101
Murfreesboro, TN 37129
Phone (615) 848-2900

Interoperability endpoints

  • Direct secure messaging: jillwelker@mmcsc.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJGECD

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": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1871866376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 W NORTHFIELD BLVD STE 101",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290531",
            "telephone_number": "615-848-2900",
            "fax_number": "615-848-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 W NORTHFIELD BLVD STE 101",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290531",
            "telephone_number": "615-848-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Westport Dr",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Cabot",
            "state": "AR",
            "postal_code": "720233657",
            "country_code": "US",
            "telephone_number": "501-843-6585",
            "fax_number": "501-843-3280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELKER",
        "first_name": "JILL",
        "middle_name": "ANNA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.