MR. JOHN L WELBORN IV FNP-C
NPI 1427496835
Nurse Practitioner - Family in Gouverneur, NY
About Mr. John L Welborn Iv Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN L WELBORN IV FNP-C (NPI 1427496835) is an individual family provider in Gouverneur, New York, licensed in New York (F337418) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Gouverneur Hospital, and maintains a secondary practice location in Watertown.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Mr. John L Welborn Iv 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.
Medicare Billing Reassignments
2Medicare enrollment records show John Welborn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gouverneur, NY 13642
- Reassigned Medicare billing, New York enrollment
- 143 clinicians in this Medicare group
Watertown, NY 13601
- Reassigned Medicare billing, New York enrollment
- 10 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Gouverneur Hospital
Critical Access Hospitals · Gouverneur, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Welborn's NPI number?
The NPI number for John Welborn is 1427496835. It was assigned to this individual provider in the NPPES registry on June 7, 2013.
Where is John Welborn located?
John Welborn practices at 77 W Barney St, Gouverneur, NY 13642. The listed phone number is (315) 261-6333.
What is John Welborn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is John Welborn enrolled in Medicare?
Yes. John 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.
Which organizations bill Medicare for John Welborn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Welborn reassigns Medicare benefits to 2 organizations: Gouverneur Hospital (Gouverneur, NY) and Thrive Wellness And Recovery, Inc (Watertown, NY). 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 John Welborn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John Welborn affiliated with any hospitals?
According to CMS data, John Welborn is affiliated with Gouverneur Hospital.
When was this NPI record last updated?
The NPPES record for John Welborn was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mr. John L Welborn IV, FNP-C · NPI 1427496835
Family physician in Gouverneur, New York. Individual provider, active in the CMS NPPES registry since June 7, 2013.
## Identity
- **NPI:** 1427496835 (Entity type: Individual)
- **Enumerated:** June 7, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F337418 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 77 W BARNEY ST, Gouverneur, NY 13642-1040
- **Phone:** (315) 261-6333
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Gouverneur Hospital (NPI 1295156412, Gouverneur, NY); Thrive Wellness And Recovery, Inc (NPI 1659389021, Watertown, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** November 3, 2025
- **Other identifiers:** Other F337418 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1427496835) · Data from the CMS NPPES public registry.