STEPHEN WELTY NURSE PRACTITIONER
NPI 1811640105
Nurse Practitioner - Acute Care in Fairfield, IL

Q: What is Stephen Welty's NPI number?

The NPI number for Stephen Welty is 1811640105. It was assigned to this individual provider in the NPPES registry on January 27, 2022.

Q: What is Stephen Welty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Welty was last updated on January 27, 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.

Active since January 27, 2022PECOS EnrolledAccepts Medicare Assignment

213 NW 10TH ST STE A, FAIRFIELD, IL 62837(618) 842-4617 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stephen Welty Nurse Practitioner NPPES

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

STEPHEN WELTY NURSE PRACTITIONER (NPI 1811640105) is an individual acute care provider in Fairfield, Illinois, licensed in Illinois (209-024734) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1811640105

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameSTEPHEN WELTYCredential: NURSE PRACTITIONER

Location Address213 NW 10TH ST STE AFairfield, IL 62837-1219

Mailing Address213 Nw 10th St Ste AFairfield, IL 62837-1219 · (618) 842-4617

Phone(618) 842-4617

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 27, 2022

NPPES CertifiedJanuary 27, 2022

✔ NPI 1811640105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in IL · 209-024734

213 NW 10TH ST STE A, Fairfield, IL 62837

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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

Stephen Welty Nurse Practitioner 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 ID6901290105

PECOS Enrollment IDI20220304001200

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 3

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140046

Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County

Emergency services Birthing friendly

Fairfield Memorial Hospital 1

Critical Access Hospitals · Fairfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141311

Location303 N W 11th StreetFairfield, IL 62837 · Wayne County

Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL

OwnershipGovernment - Local

CMS Certification Number141351

Location911 Stacy Burk DrFlora, IL 62839 · Clay County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62837 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers17 claims27 services$6.55 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

3 suppliers13 claims1,400 services$6.06 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers102 claims102 services$188.43 avg. paid by Medicare

Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554

DME-Other DME · category DE017N

3 suppliers13 claims13 services$195.81 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 4

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

LAUREN GRISWOLD LCSW

Social Worker (Clinical)

213 NW 10TH ST STE A
FAIRFIELD, IL 62837

Wayne County (618) 842-4617

NICOLE FYIE M.D.

Family Medicine

213 NW 10TH ST STE A
FAIRFIELD, IL 62837

Wayne County (618) 842-4617

SHERRY L MEWES

Nurse Practitioner (Family)

213 NW 10TH ST STE A
FAIRFIELD, IL 62837

Wayne County (618) 842-4617

MEGAN WINTER F-NP

Nurse Practitioner (Family)

213 NW 10TH ST STE A
FAIRFIELD, IL 62837

Wayne County (618) 842-4617

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 Stephen Welty's NPI number?

The NPI number for Stephen Welty is 1811640105. It was assigned to this individual provider in the NPPES registry on January 27, 2022.

Where is Stephen Welty located?

Stephen Welty practices at 213 NW 10th St Ste A, Fairfield, IL 62837. The listed phone number is (618) 842-4617.

What is Stephen Welty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Stephen Welty enrolled in Medicare?

Yes. Stephen Welty 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.

Is Stephen Welty affiliated with any hospitals?

According to CMS data, Stephen Welty is affiliated with Good Samaritan Regional Hlth Center, Fairfield Memorial Hospital 1 and Clay County Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Welty was last updated on January 27, 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.