Nathaniel Welly, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1069801 Issued in AZ

Practice address

450 S Willard St Ste 103
Cottonwood, AZ 86326-6744

Phone

(928) 634-9573

Fax

(928) 634-0135

NPI assigned

Jan 4, 2007

Sex

Male

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 AZ

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

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Arizona Home Health Home health agency, Cottonwood, AZ, CCN 037042
• Maggie'S Home Health LLC Home health agency, Cottonwood, AZ, CCN 037821
• Angels Care Home Health of Arizona Home health agency, Cottonwood, AZ, CCN 037217
• Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007
• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Prescott Healthcare Solutions LLC

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505

  AZ

  Medicare reassignment Care Compare group

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

• Angels Touch, Inc

  • Home Health Agency
  • Cottonwood, AZ
  • NPI 1821083882
  Care Compare affiliation
• LHCG Lxxvii, LLC

  • Home Health Agency
  • Cottonwood, AZ
  • NPI 1164882619
  Care Compare affiliation
• Maggie'S Home Health, LLC

  • Home Health Agency
  • Cottonwood, AZ
  • NPI 1740925148
  Care Compare affiliation
• Verde Valley Medical Center

  • General Acute Care Hospital
  • Cottonwood, AZ
  • NPI 1346291648

  Hospital

  Care Compare affiliation
• Verde Valley Medical Center

  • General Acute Care Hospital
  • Sedona, AZ
  • NPI 1538608716

  Hospital

  Care Compare affiliation
• Yavapai Community Hospital Association

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1881741726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S WILLARD ST STE 103",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266744",
            "telephone_number": "928-634-9573",
            "fax_number": "928-634-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S WILLARD ST STE 103",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266744",
            "telephone_number": "928-634-9573",
            "fax_number": "928-634-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLY",
        "first_name": "NATHANIEL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "1069801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristy L Waters, PA-C
• Mary Alaynick Watson, M.D.
• Jordy Weaver, FNP-C
• Samuel Weimer, M.D.
• James Kyle Weir, LMT
• Thomas D Wendel, MD
• Sharon Marie Wenger, P.T.
• West Yavapai Guidance Clinic Inc
• Bruce Edwin Westover, D.D.S.
• Whetman Dental PLLC

• Medical Physician Assistant in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.