MARY HEATHER WELBORN (FNP-C) – Family Nurse Practitioner, NPI 1245960350
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
Provider Addresses for MARY HEATHER WELBORN (FNP-C)
208 PARK AVENUE
FORT MADISON, IA 52627
Phone: (319) 470-2345
Type: Mailing
1706 W AGENCY RD
WEST BURLINGTON, IA 526551667
Phone: (319) 768-5858
Fax: (319) 752-4653
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $173.
Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Medtronic, Inc. ($143).
Total Amount
$173
General + Research + Ownership
Payments
5
Total payment records
General Amount
$173
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $143 |
| ABBVIE INC. | $16 |
| GlaxoSmithKline, LLC. | $14 |
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: 2022-07-11
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 |
|---|---|---|---|---|
| I20220711003571 | I | Nurse Practitioner | IA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 123 | 105 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 110 | 110 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 103 | 17 | $0 |
| 81003 | Automated urinalysis test | 45 | 40 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 41 | 39 | $0 |
Insurance plans in this area (ZIP 52627)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| P S Y C H I A T R Y | MO | |
| - | IA | |
| Clinical Social Worker | OR | |
| Nurse Practitioner | IA | |
| Clinical Social Worker | IA | |
| - | MI | |
| Internal Medicine, Emergency Medicine | KS | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA |
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