Individual provider Active NPI

Desiree Welsch, FNP-C

  • Family Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1992376149
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
291479 Issued in AZ
Practice address
1005 Division St
Prescott, AZ 86301-1601
Phone
(480) 985-1093
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 95017674 CA
Family Nurse Practitioner 363LF0000X 291479 AZ Primary

Addresses

Primary practice location

1005 Division St
Prescott, AZ 86301-1601

Mailing address

PO Box 20610
Mesa, AZ 85277-0610
Phone (480) 985-1093

Other practice location 1

625 Hilby Ave
Seaside, CA 93955-5720
Phone (831) 394-1691

Other practice location 2

3262 N Windsong Dr Ste 3
Prescott Valley, AZ 86314-2255
Phone (928) 776-8428

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231009000270 AZ Practitioner - Nurse Practitioner 3779987359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

1005 Division St
Prescott, AZ 86301-1601
Phone (928) 776-8428

3262 N Windsong Dr
Suite B
Prescott Valley, AZ 86314-2255
Phone (928) 776-8428

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95017674CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis OB GYN PLLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

1005 Division St
Prescott, AZ 86301
Phone (520) 776-8428

3262 N Windsong Dr
Ste B
Prescott Valley, AZ 86314
Phone (928) 708-4545

3262 N Windsong Dr
Ste 3
Prescott Valley, AZ 86314
Phone (928) 776-8428

2424 N Wyatt Dr
Fl 2
Tucson, AZ 85712
Phone (520) 545-0930

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • Direct secure messaging: desiree.welsch.1@19050.direct.athenahealth.com

Organizations & group practices 1

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 1

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": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1992376149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20610",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852770610",
            "telephone_number": "480-985-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DIVISION ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011601",
            "telephone_number": "480-985-1093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Hilby Ave",
            "address_purpose": "LOCATION",
            "city": "Seaside",
            "state": "CA",
            "postal_code": "939555720",
            "country_code": "US",
            "telephone_number": "831-394-1691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3262 N Windsong Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142255",
            "country_code": "US",
            "telephone_number": "928-776-8428",
            "fax_number": "928-776-8057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELSCH",
        "first_name": "DESIREE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017674",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "291479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.