Individual provider Active NPI

Nicole J Welch, FNP

  • Family Nurse Practitioner
  • Gates, NY
National Provider Identifier
1952928004
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345616 Issued in NY
Practice address
2232 Lyell Ave
Gates, NY 14606-5720
Phone
(585) 417-4125
NPI assigned
Jul 6, 2020
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 345616 NY Primary

Addresses

Primary practice location

2232 Lyell Ave
Gates, NY 14606-5720

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

425 Guy Park Ave Ste 202
Amsterdam, NY 12010-1044
Phone (518) 842-7088

Other practice location 2

115 Saratoga Rd Ste 230
Glenville, NY 12302-4226
Phone (518) 348-5300

Other practice location 3

99 E State St Ste G05
Gloversville, NY 12078-1203
Phone (518) 773-2303

Other practice location 4

103 Sitterly Rd Ste 2100
Halfmoon, NY 12065-5646
Phone (518) 383-9373

Other practice location 5

1769 Union St Fl 1
Schenectady, NY 12309-6311
Phone (518) 348-5300

Other practice location 6

3757 Carman Rd Ste 103
Schenectady, NY 12303-5438
Phone (518) 881-0810

Other practice location 7

2546 Balltown Rd Ste 300
Schenectady, NY 12309-1079
Phone (518) 377-8184

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200819000429 NY Practitioner - Nurse Practitioner 4284050485 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Aug 1, 2020 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Mar 15, 2021 Accepting new patients
Wellnow Urgent Care, PC PastSince Jul 12, 2020 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Past Accepting new patients
Wellnow Urgent Care, PC PastSince Aug 1, 2020 Accepting new patients
Cardiology Associates of Schenectady, P.C. PastSince Aug 17, 2020 Accepting new patients
Ny Primary Care Practice, PC PastSince Aug 1, 2020 Accepting new patients

Locations

425 Guy Park Ave
Ste 202
Amsterdam, NY 12010
Phone (518) 842-3330

99 E State St
Ste G5
Gloversville, NY 12078
Phone (518) 773-2303

103 Sitterly Rd
Ste 2100
Halfmoon, NY 12065
Phone (518) 383-9373

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

2232 Lyell Ave
Rochester, NY 14606
Phone (585) 417-4125

115 Saratoga Rd
Ste 230
Schenectady, NY 12302
Phone (518) 348-5300

1769 Union St
Ste 1
Schenectady, NY 12309
Phone (518) 348-5300

2546 Balltown Rd
Ste 300
Schenectady, NY 12309
Phone (518) 377-8184

3757 Carman Rd
Ste 103
Schenectady, NY 12303
Phone (518) 374-7371

445 Balltown Rd
Ste 1
Schenectady, NY 12304
Phone (518) 387-3566

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Interoperability endpoints

  • Direct secure messaging: nwelch@caspc.medentdirect.com
  • Direct secure messaging: nwelch920790@direct.trinity-health.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1952928004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 LYELL AVE",
            "city": "GATES",
            "state": "NY",
            "postal_code": "146065720",
            "telephone_number": "585-417-4125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Guy Park Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "120101044",
            "country_code": "US",
            "telephone_number": "518-842-7088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Saratoga Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Glenville",
            "state": "NY",
            "postal_code": "123024226",
            "country_code": "US",
            "telephone_number": "518-348-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 E State St Ste G05",
            "address_purpose": "LOCATION",
            "city": "Gloversville",
            "state": "NY",
            "postal_code": "120781203",
            "country_code": "US",
            "telephone_number": "518-773-2303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Sitterly Rd Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Halfmoon",
            "state": "NY",
            "postal_code": "120655646",
            "country_code": "US",
            "telephone_number": "518-383-9373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1769 Union St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123096311",
            "country_code": "US",
            "telephone_number": "518-348-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3757 Carman Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123035438",
            "country_code": "US",
            "telephone_number": "518-881-0810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2546 Balltown Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123091079",
            "country_code": "US",
            "telephone_number": "518-377-8184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "NICOLE",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2546 Balltown Rd Ste 300",
            "city": "Schenectady",
            "state": "NY",
            "country_code": "US",
            "postal_code": "123091079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gates, NY

Sources for this page

Verify at the official NPI Registry.