Individual provider Active NPI

John Paul Welch, ANP-BC, RN

  • Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1912228495
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9219350 Issued in FL
Practice address
2113 Sarno Rd
Melbourne, FL 32935-3001
Phone
(321) 676-0558
Fax
(321) 622-3588
NPI assigned
Jun 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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 ARNP9219350 FL Primary

Addresses

Primary practice location

2113 Sarno Rd
Melbourne, FL 32935-3001

Mailing address

490 Centre Lake Dr NE Ste 200B
Palm Bay, FL 32907-1189
Phone (321) 784-8211

Other identifiers 1

IdentifierTypeStateIssuer
ARNP 9219350OtherFLSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100810000478 FL Practitioner - Nurse Practitioner 9931233145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

777 37TH St
Suite C101
Vero Beach, FL 32960-7301
Phone (772) 360-1997

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.34 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Spine and Pain Institute LLC CurrentSince May 1, 2023 Accepting new patients
Interventional Spine and Pain Institute LLC CurrentSince May 1, 2023 Accepting new patients
The Pain Institute Inc PastSince Jul 27, 2015 Accepting new patients

Locations

6559 N Wickham Rd
Ste C102
Melbourne, FL 32940
Phone (772) 360-1997

5200 Babcock St NE
Ste 111
Palm Bay, FL 32905
Phone (321) 952-4445

777 37th St
Ste C101
Vero Beach, FL 32960
Phone (772) 360-1997

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: john.welch.p2@direct.painreliefcenters.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DJDGCD

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1912228495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 CENTRE LAKE DR NE STE 200B",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071189",
            "telephone_number": "321-784-8211",
            "fax_number": "321-394-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 SARNO RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353001",
            "telephone_number": "321-676-0558",
            "fax_number": "321-622-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "ANP-BC, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9219350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "ARNP 9219350",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.