JUSTIN WELBORN FNP - C
NPI 1245653252
Nurse Practitioner - Family in Baton Rouge, LA

Active since January 27, 2014PECOS EnrolledAccepts Medicare Assignment
62.1/100
CMS Quality Rating
8080 BLUEBONNET BLVD STE 3200, BATON ROUGE, LA 70810(225) 924-2424 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2020, Jan 15, 2020 (2 updates tracked since 2020).

About Justin Welborn Fnp - C NPPES

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

JUSTIN WELBORN FNP - C (NPI 1245653252) is an individual family provider in Baton Rouge, Louisiana, licensed in Louisiana (211467) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245653252
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTIN WELBORNCredential: FNP - C
Location Address8080 BLUEBONNET BLVD STE 3200Baton Rouge, LA 70810-7831
Mailing Address8080 Bluebonnet Blvd Ste 3200Baton Rouge, LA 70810-7831 · (225) 924-2424
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 27, 2014
Last NPPES UpdateJanuary 28, 20202 updates tracked since enumeration
NPI 1245653252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in LA · 211467
Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License RN124998 (LA)
8080 BLUEBONNET BLVD STE 3200, Baton Rouge, LA 70810

Accepted 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

Justin Welborn Fnp - C 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 ID7911337092
PECOS Enrollment IDI20200414002696
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 4

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.
32 services31 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
21 services18 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.
19 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70810 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

62.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Improvement Activities40
Cost24.2

Other Providers at the Same Location NPPES 6

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

Physician Assistant
8080 BLUEBONNET BLVD STE 3200
BATON ROUGE, LA 70810
Physician Assistant
8080 BLUEBONNET BLVD STE 3200
BATON ROUGE, LA 70810
Physician Assistant
8080 BLUEBONNET BLVD STE 3200
BATON ROUGE, LA 70810
Physician Assistant
8080 BLUEBONNET BLVD STE 3200
BATON ROUGE, LA 70810
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
8080 BLUEBONNET BLVD STE 3200
BATON ROUGE, LA 70810
Nurse Practitioner (Family)
8080 BLUEBONNET BLVD STE 3200
BATON ROUGE, LA 70810

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 Justin Welborn's NPI number?

The NPI number for Justin Welborn is 1245653252. It was assigned to this individual provider in the NPPES registry on January 27, 2014.

Where is Justin Welborn located?

Justin Welborn practices at 8080 Bluebonnet Blvd Ste 3200, Baton Rouge, LA 70810. The listed phone number is (225) 924-2424.

What is Justin Welborn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Justin Welborn enrolled in Medicare?

Yes. Justin Welborn 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 Justin Welborn accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Justin Welborn 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.

When was this NPI record last updated?

The NPPES record for Justin Welborn was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.