JACQUELYN L WELBORN PMHNP
NPI 1689229940
Nurse Practitioner - Psychiatric/Mental Health in Seaside, OR

Q: What is Jacquelyn Welborn's NPI number?

The NPI number for Jacquelyn Welborn is 1689229940. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Q: What is Jacquelyn Welborn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Welborn was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 05, 2019PECOS EnrolledAccepts Medicare Assignment

727 S WAHANNA RD, SEASIDE, OR 97138(503) 717-7060 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2023, Sep 28, 2020, Aug 5, 2019 (3 updates tracked since 2019).

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About Jacquelyn L Welborn Pmhnp NPPES

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

JACQUELYN L WELBORN PMHNP (NPI 1689229940) is an individual psychiatric/mental health provider in Seaside, Oregon, licensed in Oregon (201907444NP-PP) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Columbia Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689229940

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJACQUELYN L WELBORNCredential: PMHNP

Location Address727 S WAHANNA RDSeaside, OR 97138-7735

Mailing AddressPo Box 3397Portland, OR 97208-3397

Phone(503) 717-7060

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 5, 2019

Last NPPES UpdateFebruary 2, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2023

✔ NPI 1689229940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 201907444NP-PP

Also ListedNurse PractitionerTaxonomy 363L00000X · License 201907444NP-PP (OR)

727 S WAHANNA RD, Seaside, OR 97138

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan.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

Jacquelyn L Welborn Pmhnp 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 ID7810229028

PECOS Enrollment IDI20191021002025

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.

Columbia Memorial Hospital

Critical Access Hospitals · Astoria, OR

OwnershipProprietary

CMS Certification Number381320

Location2111 Exchange StreetAstoria, OR 97103 · Clatsop County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97138 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 11

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

LISA APRIL ESCALANTE PA-C

Physician Assistant