SHANIQUE RENEE RUBENS-WELCH (ACNP-BC) – Acute Care Nurse Practitioner, NPI 1114206349

SHANIQUE RENEE RUBENS-WELCH (ACNP-BC) is a healthcare provider. based in Allen park, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP-BC. They hold a License No. 4704252025 (MI). The NPI Number for SHANIQUE RENEE RUBENS-WELCH (ACNP-BC) is 1114206349

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
SHANIQUE RENEE RUBENS-WELCH (ACNP-BC)
NPI
1114206349
Phone
(313) 383-7071
Address
14825 SOUTHFIELD RD
Enumeration Date
4 August 2011
Last Update Date
2 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7347151706
Graduation Year
2011 (15 years ago)
PAC ID
9234357294
Group Practice PAC ID
8729136486
Professional Enrollment ID
I20140904001649
Address ID
MI481971099YP5333XDRXX302

Contacts

Secure Messaging
kidneyaa@directaddress.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness95
Years active:14State licenses:1Other names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for SHANIQUE RENEE RUBENS-WELCH (ACNP-BC)

  • 14825 SOUTHFIELD RD

    ALLEN PARK, MI 481012642

    Phone: (313) 383-7071

    Type: Location

  • 5333 MCAULEY DR

    RM 4003

    YPSILANTI, MI 481971099

    Phone: (734) 712-3470

    Fax: (734) 712-2935

    Type: Mailing

  • 5333 MCAULEY DR RM 4003

    YPSILANTI, MI 481971099

    Phone: (734) 712-3470

    Fax: (734) 712-2935

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $1,043.

Total Amount is formed as General ($1,043) + Research ($0) + Ownership ($0) = $1,043.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Medtronic, Inc. ($437).

Total Amount

$1,043

General + Research + Ownership

Payments

9

Total payment records

General Amount

$1,043

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-09-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140904001649INurse PractitionerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99496Transitional care management services for problem of high complexity5029$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)2318$0
View full utilization report →

Insurance plans in this area (ZIP 48101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729136486View full group profile
NameSpecialtyState
Nurse PractitionerMI
N E P H R O L O G YMI
Nurse PractitionerMI
Nurse PractitionerMI
Internal Medicine, NephrologyOH
Nurse PractitionerMI
Nurse PractitionerMI
-MI
Physician AssistantMI
N E P H R O L O G YMI

Reviews

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Frequently asked questions

Is SHANIQUE RENEE RUBENS-WELCH (ACNP-BC) listed with a National Provider Identifier?
Yes — SHANIQUE RENEE RUBENS-WELCH (ACNP-BC) has NPI 1114206349 on file in the registry.
Is there an active status for SHANIQUE RENEE RUBENS-WELCH (ACNP-BC)?
For scheduling context, SHANIQUE RENEE RUBENS-WELCH (ACNP-BC) is shown as active in the registry.
What kind of doctor is SHANIQUE RENEE RUBENS-WELCH (ACNP-BC)?
SHANIQUE RENEE RUBENS-WELCH (ACNP-BC) is associated with Acute Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Michigan is SHANIQUE RENEE RUBENS-WELCH (ACNP-BC) registered?
Use Allen Park, Michigan as the headline location for SHANIQUE RENEE RUBENS-WELCH (ACNP-BC) here.
When was this NPI issued?
Enumeration for SHANIQUE RENEE RUBENS-WELCH (ACNP-BC) is noted as August 4, 2011 where the registry provides it.

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