MARY HEATHER WELBORN FNP-C
NPI 1245960350
Nurse Practitioner - Family in West Burlington, IA

Active since June 13, 2022PECOS EnrolledAccepts Medicare Assignment
1706 W AGENCY RD, WEST BURLINGTON, IA 52655(319) 768-5858(319) 752-4653 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2024, Dec 14, 2023, Oct 28, 2022 (3 updates tracked since 2022).

About Mary Heather Welborn Fnp-c NPPES

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

MARY HEATHER WELBORN FNP-C (NPI 1245960350) is an individual family provider in West Burlington, Iowa, licensed in Iowa (A169107) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245960350
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY HEATHER WELBORNCredential: FNP-C
Location Address1706 W AGENCY RDWest Burlington, IA 52655-1667
Mailing Address1706 W Agency RdWest Burlington, IA 52655-1667 · (319) 768-5858 · Fax (319) 752-4653
Fax(319) 752-4653
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 13, 2022
Last NPPES UpdateOctober 7, 20243 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
NPI 1245960350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IA · A169107
1706 W AGENCY RD, West Burlington, IA 52655

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

Mary Heather 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 ID7517347214
PECOS Enrollment IDI20220711003571
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.

Hospital Affiliations CMS Care Compare

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

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES 16

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

Family Medicine
1706 W AGENCY RD
WEST BURLINGTON, IA 52655
Nurse Practitioner (Primary Care)
1706 W AGENCY RD
WEST BURLINGTON, IA 52655
Physician Assistant
1706 W AGENCY RD
WEST BURLINGTON, IA 52655
Pharmacy (Community/Retail Pharmacy)
1706 W AGENCY RD
WEST BURLINGTON, IA 52655
Dentist (General Practice)
1706 W AGENCY RD
WEST BURLINGTON, IA 52655
Social Worker (Clinical)
1706 W AGENCY RD
WEST BURLINGTON, IA 52655
Internal Medicine
1706 W AGENCY RD
WEST BURLINGTON, IA 52655
Nurse Practitioner (Family)
1706 W AGENCY RD
WEST BURLINGTON, IA 52655

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 Mary Welborn's NPI number?

The NPI number for Mary Welborn is 1245960350. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Mary Welborn located?

Mary Welborn practices at 1706 W Agency Rd, West Burlington, IA 52655. The listed phone number is (319) 768-5858.

What is Mary Welborn's specialty?

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

Is Mary Welborn enrolled in Medicare?

Yes. Mary 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 Mary Welborn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Mary 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.

Is Mary Welborn affiliated with any hospitals?

According to CMS data, Mary Welborn is affiliated with Southeast Iowa Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Welborn was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.