JENNIFER SUE WELCH – Nurse Practitioner, NPI 1417236050

JENNIFER SUE WELCH is a healthcare provider. based in East liverpool, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. 12307-NP (OH). The NPI Number for JENNIFER SUE WELCH is 1417236050

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER SUE WELCH
NPI
1417236050
Phone
(330) 382-1422
Address
15613 PINEVIEW DR
Enumeration Date
14 August 2011
Last Update Date
27 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
6103085170
Group Practice PAC ID
0042105678
Professional Enrollment ID
I20120309000693
Address ID
OH439209625EA48462RDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JENNIFER SUE WELCH

  • 15613 PINEVIEW DR

    STE C

    EAST LIVERPOOL, OH 439209096

    Phone: (330) 382-1422

    Fax: (330) 382-1154

    Mailing address matches the actual address.

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: 2013-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120309000693INurse PractitionerOHTBD
I20130318000399INurse PractitionerPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes128113$0
90480Admn sarscov2 vacc 1 dose1515$0
91320Sarscv2 vac 30mcg trs-suc im1414$0
View full utilization report →

Insurance plans in this area (ZIP 43920)

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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: 0042105678View full group profile
NameSpecialtyState
-PA
-PA
-PA
Physician AssistantPA
-PA
H O S P I T A L I S TPA
Interventional Cardiology, Cardiovascular Disease (Cardiology)PA
Physician AssistantNY
-NC
Internal MedicinePA

Reviews

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Frequently asked questions

Can I cross-check JENNIFER SUE WELCH using NPI 1417236050?
NPI 1417236050 belongs to JENNIFER SUE WELCH; compare other details if you need extra assurance.
Is there an active status for JENNIFER SUE WELCH?
For scheduling context, JENNIFER SUE WELCH is shown as active in the registry.
What clinical focus is listed for JENNIFER SUE WELCH?
At a glance, JENNIFER SUE WELCH is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Ohio is JENNIFER SUE WELCH registered?
Use East Liverpool, Ohio as the headline location for JENNIFER SUE WELCH here.
Does JENNIFER SUE WELCH accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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