Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DONALD WELCH
NPI 1265961932
Nurse Practitioner - Family in Laurel, MS

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
1008 N 15TH AVE, LAUREL, MS 39440(601) 426-5125(601) 399-6281 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2026, Mar 3, 2026, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Donald Welch NPPES

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

DONALD WELCH (NPI 1265961932) is an individual family provider in Laurel, Mississippi, licensed in Mississippi (884785) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with South Central Reg Med Ctr, and maintains a secondary practice location in Laurel.

NPPES Registry Identity

NPI1265961932
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDONALD WELCH
Location Address1008 N 15TH AVELaurel, MS 39440-2656
Mailing AddressPo Box 247Laurel, MS 39441-0247 · (601) 399-6169 · Fax (601) 399-6281
Fax(601) 399-6281
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 7, 2017
Last NPPES UpdateOctober 7, 20264 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1265961932 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 MS · 884785
1008 N 15TH AVE, Laurel, MS 39440

Secondary Practice Location 1

Location 130 Circle J Dr, Ste 1Laurel, MS 39440 · Phone (601) 425-0092

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donald Welch 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 ID3779852140
PECOS Enrollment IDI20170629000394
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Donald Welch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
2002 HIGHWAY 15 N STE D
Laurel, MS 39440
  • Reassigned Medicare billing, Mississippi enrollment
  • 205 clinicians in this Medicare group
Nurse Practitioner
3248 HIGHWAY 49
Collins, MS 39428
  • Reassigned Medicare billing, Mississippi enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

South Central Reg Med Ctr

Acute Care Hospitals · Laurel, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250058
Location1220 Jefferson St Box 607Laurel, MS 39440 · Jones County
Emergency services Birthing friendly

Covington County Hospital Cah

Critical Access Hospitals · Collins, MS
OwnershipGovernment - Local
CMS Certification Number251325
Location701 South Holly AvenueCollins, MS 39428 · Covington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39440 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Reported Quality Measures

Breast Cancer Screening
9%44 patients1/55-star benchmark: 93%
Cervical Cancer Screening
1%106 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
22%208 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
6%97 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
74%50 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%32 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
34%32 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%446 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
43%218 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%192 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%273 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 125 patients
0%125 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
63%35 patients3/55-star benchmark: 91%
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

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier60 claims60 services$5.60 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 10

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

Nurse Practitioner (Family)
1008 N 15TH AVE
LAUREL, MS 39440
Obstetrics & Gynecology
1008 N 15TH AVE
LAUREL, MS 39440
Obstetrics & Gynecology
1008 N 15TH AVE
LAUREL, MS 39440
Obstetrics & Gynecology
1008 N 15TH AVE
LAUREL, MS 39440
Family Medicine
1008 N 15TH AVE
LAUREL, MS 39440
Obstetrics & Gynecology
1008 N 15TH AVE
LAUREL, MS 39440
Nurse Practitioner (Women's Health)
1008 N 15TH AVE
LAUREL, MS 39440
Nurse Practitioner (Women's Health)
1008 N 15TH AVE
LAUREL, MS 39440

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 Donald Welch's NPI number?

The NPI number for Donald Welch is 1265961932. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Donald Welch located?

Donald Welch practices at 1008 N 15th Ave, Laurel, MS 39440. The listed phone number is (601) 426-5125.

What is Donald Welch's specialty?

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

Is Donald Welch enrolled in Medicare?

Yes. Donald 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.

Which organizations bill Medicare for Donald Welch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Welch reassigns Medicare benefits to 2 organizations: South Central Clinics, Inc (Laurel, MS) and Pine Ridge Family Clinic, LLC (Collins, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Welch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Welch accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Donald 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 Donald Welch affiliated with any hospitals?

According to CMS data, Donald Welch is affiliated with South Central Reg Med Ctr and Covington County Hospital Cah.

When was this NPI record last updated?

The NPPES record for Donald Welch was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.