JAMIE YVONNE WELTY (DNP, FNP-BC) – Nurse Practitioner, NPI 1649894791
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JAMIE YVONNE WELTY (DNP, FNP-BC)
12198 ROUTE 108
CARLINVILLE, IL 626262272
Phone: (217) 720-7427
Type: Mailing
20733 N BROAD ST
CARLINVILLE, IL 626263710
Phone: (217) 864-3141
Type: Mailing
20613 N BROAD ST
CARLINVILLE, IL 626263720
Phone: (217) 854-3881
Type: Location
205 S 3rd St
Girard, IL 626401547
Phone: (217) 627-2222
Fax: (217) 627-2221
Type: Location
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 622265363
Phone: (618) 233-2220
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-02-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210208000623 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62626)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | MO | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| H O S P I T A L I S T | IL | |
| Clinical Social Worker | IL |
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