Individual provider Active NPI

Elizabeth Jane Welch, DNP, FNP-C

  • Nurse Practitioner
  • Lancaster, CA
National Provider Identifier
1881436616
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95030973 Issued in CA
Practice address
44215 15TH St W Ste 209
Lancaster, CA 93534-5504
Phone
(661) 522-4567
NPI assigned
Jun 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95030973 CA Primary

Addresses

Primary practice location

44215 15TH St W Ste 209
Lancaster, CA 93534-5504

Mailing address

4341 Knox Ave
Rosamond, CA 93560-6426
Phone (316) 670-3394

Other practice location 1

4341 Knox Ave
Rosamond, CA 93560-6426
Phone (316) 670-3394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241022001574 CA Practitioner - Nurse Practitioner 5294267720 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95030973CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare Partners PC CurrentSince Aug 18, 2024 Accepting new patients
Urology Institute of the South Bay Current Accepting new patients
Skyline Urology Current Accepting new patients

Locations

44215 15th St W
Ste 209
Lancaster, CA 93534
Phone (661) 522-4567

23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400

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": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1881436616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 KNOX AVE",
            "city": "ROSAMOND",
            "state": "CA",
            "postal_code": "935606426",
            "telephone_number": "316-670-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44215 15TH ST W STE 209",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345504",
            "telephone_number": "661-522-4567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4341 Knox Ave",
            "address_purpose": "LOCATION",
            "city": "Rosamond",
            "state": "CA",
            "postal_code": "935606426",
            "country_code": "US",
            "telephone_number": "316-670-3394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95030973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.