Individual provider Active NPI

Denise W. Welsh, NP

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1962956516
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21721 Issued in TN
Practice address
2428 Knob Creek Rd
Suite 201
Johnson City, TN 37604-2397
Phone
(423) 282-5054
Fax
(423) 283-0516
NPI assigned
Aug 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024173796 VA
Family Nurse Practitioner 363LF0000X 21721 TN Primary

Addresses

Primary practice location

2428 Knob Creek Rd
Suite 201
Johnson City, TN 37604-2397

Mailing address

509 Med Tech Pkwy Ste 100
Johnson City, TN 37604-2579
Phone (423) 302-6565

Other names 1

  • Denise L Bragg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160927001764 TN Practitioner - Nurse Practitioner 0345537817 Reassigns benefits to 1 organization
I20180815001399 VA Practitioner - Nurse Practitioner 0345537817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmont Cardiology ServicesGroup PAC ID 5799970281, 137 clinicians

Practice addresses (Care Compare)

127 Health Care Dr
Pennington Gap, VA 24277-2853
Phone (423) 230-5000

16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1100

16000 Johnston Memorial Dr
Suite 212a
Abingdon, VA 24211-7664
Phone (276) 258-3740

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21721TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Sep 1, 2019 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Sep 1, 2019 Accepting new patients
Wellmont Medical Associates, Inc. PastSince Sep 1, 2019 Accepting new patients

Locations

2428 Knob Creek Rd
Ste 201
Johnson City, TN 37604
Phone (423) 262-4400

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

2050 Meadowview Pkwy
Kingsport, TN 37660

16000 Johnston Memorial Dr
Ste 212
Abingdon, VA 24211
Phone (276) 258-2732

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

16000 Johnston Memorial Dr
Ste 212A
Abingdon, VA 24211
Phone (276) 258-1000

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

245 Medical Park Dr
Ste A
Marion, VA 24354
Phone (276) 378-1000

127 Health Care Dr
Ste 3
Pennington Gap, VA 24277
Phone (276) 299-5000

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1962956516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MED TECH PKWY STE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042579",
            "telephone_number": "423-302-6565",
            "fax_number": "423-952-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 KNOB CREEK RD",
            "address_2": "SUITE 201",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042397",
            "telephone_number": "423-282-5054",
            "fax_number": "423-283-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSH",
        "first_name": "DENISE",
        "middle_name": "W.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173796",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "BRAGG",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.