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NICOLE ELIZABETH WELBORN FNP
NPI 1619420650
Nurse Practitioner - Family in Fountain Inn, SC

Active since July 26, 2016PECOS Enrolled
200 N NELSON DR, FOUNTAIN INN, SC 29644(864) 522-6270(864) 522-6275 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 1, 2021, Nov 17, 2016, Aug 15, 2016 (3 updates tracked since 2016).

About Nicole Elizabeth Welborn Fnp NPPES

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

NICOLE ELIZABETH WELBORN FNP (NPI 1619420650) is an individual family provider in Fountain Inn, South Carolina, licensed in South Carolina (20242) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619420650
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE ELIZABETH WELBORNCredential: FNP
Location Address200 N NELSON DRFountain Inn, SC 29644
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Phone(864) 522-6270
Fax(864) 522-6275
Sole ProprietorNo
Enumeration DateJuly 26, 2016
Last NPPES UpdateMarch 15, 20223 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
✔ NPI 1619420650 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 SC · 20242
200 N NELSON DR, Fountain Inn, SC 29644
Open in Google Maps ↗

Other Identifiers 1

MedicaidNP4225SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Elizabeth Welborn Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Nicole Welborn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prisma Health University Medical Group
14 mi
Internal Medicine
1025 VERDAE BLVD, SUITE A
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
NPI 1083787006 (864) 242-4683

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29644 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 8

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

PRISMA HEALTH-UPSTATE
Clinic/Center (Multi-Specialty)
200 N NELSON DR
FOUNTAIN INN, SC 29644
Greenville County (864) 522-6270
DR. ROBERT MICHAEL HELLAMS
Family Medicine
200 N NELSON DR
FOUNTAIN INN, SC 29644
Greenville County (864) 522-3270
KELLY JORDAN SPENCE MD
Internal Medicine
200 N NELSON DR
FOUNTAIN INN, SC 29644
Greenville County (864) 522-6270
AUDREY GOODJOIN NP
Nurse Practitioner (Family)
200 N NELSON DR
FOUNTAIN INN, SC 29644
Greenville County (864) 522-6270
DR. ROBERT MICHAEL PARRICK D.O.
Internal Medicine
200 N NELSON DR
FOUNTAIN INN, SC 29644
Greenville County (864) 522-6270
SHELBY ELISE SPICER MD
Internal Medicine
200 N NELSON DR
FOUNTAIN INN, SC 29644
Greenville County (864) 522-6270
CAROLINE PARKIN FAIRCLOTH MD
Family Medicine
200 N NELSON DR
FOUNTAIN INN, SC 29644
Greenville County (864) 522-6270
MELISSA DOUGE DO
Internal Medicine
200 N NELSON DR
FOUNTAIN INN, SC 29644
Greenville County (864) 522-6270

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 Nicole Welborn's NPI number?

The NPI number for Nicole Welborn is 1619420650. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Where is Nicole Welborn located?

Nicole Welborn practices at 200 N Nelson Dr, Fountain Inn, SC 29644. The listed phone number is (864) 522-6270.

What is Nicole Welborn's specialty?

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

Is Nicole Welborn enrolled in Medicare?

Yes. Nicole Welborn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Welborn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Welborn reassigns Medicare benefits to Prisma Health University Medical Group (Greenville, SC). The 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 Nicole Welborn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Welborn accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Nicole 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 Nicole Welborn was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.