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AMY SUE WELCH CFNP
NPI 1154434512
Nurse Practitioner in Caldwell, OH

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
44525 MARIETTA RD, CALDWELL, OH 43724(740) 732-6851(740) 732-7425 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amy Sue Welch Cfnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY SUE WELCH CFNP (NPI 1154434512) is an individual nurse practitioner in Caldwell, Ohio, licensed in Ohio (NP07624) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1154434512
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMY SUE WELCHCredential: CFNP
Location Address44525 MARIETTA RDCaldwell, OH 43724-9209
Mailing Address44525 Marietta RdCaldwell, OH 43724-9209 · (740) 732-6851 · Fax (740) 732-4029
Phone(740) 732-6851
Fax(740) 732-7425
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 17, 2006
Last NPPES UpdateMarch 21, 2019
✔ NPI 1154434512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · NP07624
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
44525 MARIETTA RD, Caldwell, OH 43724
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Other Identifiers 1

Medicaid0160856OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Sue Welch Cfnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769377290
PECOS Enrollment IDI20040216000402
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
263 services101 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
91 services55 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
77 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services49 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
65 services35 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
28 services20 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Southeastern Ohio Regional Medical Center

Acute Care Hospitals · Cambridge, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360203
Location1341 North Clark StreetCambridge, OH 43725 · Guernsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43724 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
27%230 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
33%454 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
15%92 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers29 claims44 services$4.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims11 services$0.93 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers49 claims49 services$116.42 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers12 claims2,397 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$195.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELCH URGENT CARE & WELLNESS CENTER LLC
Nurse Practitioner (Family)
44525 MARIETTA RD
CALDWELL, OH 43724
Noble County (740) 732-6851

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Welch's NPI number?

The NPI number for Amy Welch is 1154434512. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Amy Welch located?

Amy Welch practices at 44525 Marietta Rd, Caldwell, OH 43724. The listed phone number is (740) 732-6851.

What is Amy Welch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amy Welch enrolled in Medicare?

Yes. Amy Welch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amy Welch accept?

Health plans from CareSource list Amy Welch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amy Welch affiliated with any hospitals?

According to CMS data, Amy Welch is affiliated with Genesis Hospital, Marietta Memorial Hospital and Southeastern Ohio Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Welch was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.