Active NPI
Jacqueline Colene Welker, PA-C
- Physician Assistant
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5424 E Southern Ave
Suite 101
Mesa, AZ 85206-3621 - Phone
- (480) 654-6200
- Fax
- (480) 654-6214
- NPI assigned
- Jan 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AZ | Primary |
Addresses
Primary practice location
5424 E Southern Ave
Suite 101
Mesa, AZ 85206-3621
Mailing address
5424 E Southern Ave
Suite 101
Mesa, AZ 85206-3621
Phone (480) 654-6200
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth-Fastmed Ambulatory Holdings LLC | Current | Accepting new patients | |
| Honorhealth-Fastmed Ambulatory Holdings LLC | Current | Accepting new patients | |
| Tri-City Express Care, PLLC | Current | Accepting new patients | |
| Tri-City Express Care, PLLC | Past | Accepting new patients | |
| Whispering Palms Medical Inc | Past | Accepting new patients | |
| Honorhealth Urgent Care, LLC | Past | Accepting new patients | |
| Tri-City Express Care, PLLC | Past | Accepting new patients | |
| Tri-City Express Care, PLLC | Past | Accepting new patients | |
| Tri-City Express Care, PLLC | Past | Accepting new patients | |
| Tri-City Express Care, PLLC | Past | Accepting new patients |
Locations (25 of 30)
2875 W Ray Rd
Ste 8
Chandler, AZ 85224
Phone (480) 726-3440
4959 W Ray Rd
Ste 33
Chandler, AZ 85226
Phone (480) 214-2188
3705 S Arizona Ave
Ste 1
Chandler, AZ 85248
Phone (480) 214-7828
495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573
920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201
890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 241-7564
3730 W Happy Valley Rd
Ste 100
Glendale, AZ 85310
Phone (623) 277-4140
1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040
1955 S Signal Butte Rd
Ste 103
Mesa, AZ 85209
Phone (480) 214-4466
415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661
835 W University Dr
Mesa, AZ 85201
Phone (480) 664-6007
1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045
2423 W Dunlap Ave
Ste 150
Phoenix, AZ 85021
Phone (602) 216-6862
3302 W Thomas Rd
Ste 10
Phoenix, AZ 85017
Phone (602) 233-2900
8260 W Indian School Rd
Ste 1
Phoenix, AZ 85033
Phone (623) 846-7122
5259 W Indian School Rd
Ste 100
Phoenix, AZ 85031
Phone (623) 888-5101
2301 N 44th St
Phoenix, AZ 85008
Phone (602) 808-8786
2860 W Peoria Ave
Ste B
Phoenix, AZ 85029
Phone (602) 283-0595
4902 E Shea Blvd
Ste 101
Scottsdale, AZ 85254
Phone (480) 214-4468
7730 E McDowell Rd
Ste 101
Scottsdale, AZ 85257
Phone (480) 699-3314
12775 W Bell Rd
Ste 100
Surprise, AZ 85378
Phone (623) 215-0082
1804 W Elliot Rd
Tempe, AZ 85284
Phone (480) 456-0444
940 E University Dr
Ste 101
Tempe, AZ 85288
Phone (480) 214-0622
2720 W Baseline Rd
Tempe, AZ 85283
Phone (602) 777-6000
3244 S Mill Ave
Ste 101
Tempe, AZ 85282
Phone (480) 214-0621
Organizations & group practices 12
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.
-
- Urgent Care Clinic/Center
- Surprise, AZ
- NPI 1467069047
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1588797765
-
- Urgent Care Clinic/Center
- Mesa, AZ
- NPI 1578170114
-
- Urgent Care Clinic/Center
- Tucson, AZ
- NPI 1801403480
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1649554940
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1740273614
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1376981092
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1477818730
-
- Urgent Care Clinic/Center
- Tolleson, AZ
- NPI 1750728523
-
- Family Medicine Physician
- Gilbert, AZ
- NPI 1962580118
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1972929081
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1821314998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1962890434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5424 E SOUTHERN AVE",
"address_2": "SUITE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852063621",
"telephone_number": "480-654-6200",
"fax_number": "480-654-6214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5424 E SOUTHERN AVE",
"address_2": "SUITE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852063621",
"telephone_number": "480-654-6200",
"fax_number": "480-654-6214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELKER",
"first_name": "JACQUELINE",
"middle_name": "COLENE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-06",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.