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JACQUELINE LOUISE WELLBORN
NPI 1871258152
Nurse Practitioner - Family in Hico, TX

Active since November 02, 2021PECOS EnrolledAccepts Medicare Assignment
104 S WALNUT ST, HICO, TX 76457(254) 796-4224(866) 264-2163 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2023, Nov 2, 2021 (2 updates tracked since 2021).

About Jacqueline Louise Wellborn NPPES

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

JACQUELINE LOUISE WELLBORN (NPI 1871258152) is an individual family provider in Hico, Texas, licensed in Texas (2021118463) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Hamilton General Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871258152
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE LOUISE WELLBORN
Location Address104 S WALNUT STHico, TX 76457
Mailing Address400 N Brown StHamilton, TX 76531-1518 · (254) 386-1895
Phone(254) 796-4224
Fax(866) 264-2163
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 2, 2021
Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1871258152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 2021118463
Also ListedRegistered NurseTaxonomy 163W00000X · License 883588 (TX)
104 S WALNUT ST, Hico, TX 76457
Open in Google Maps ↗

Other Names 1

Former Name (1)Jacqueline Weathers Fnp-bc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Jacqueline Louise Wellborn 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 ID3870985765
PECOS Enrollment IDI20220127000295
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.

Hamilton General Hospital

Critical Access Hospitals · Hamilton, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451392
Location400 N Brown, Building 1Hamilton, TX 76531 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76457 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Jacqueline Wellborn's NPI number?

The NPI number for Jacqueline Wellborn is 1871258152. It was assigned to this individual provider in the NPPES registry on November 2, 2021. The provider is also known as Jacqueline Weathers Fnp-Bc.

Where is Jacqueline Wellborn located?

Jacqueline Wellborn practices at 104 S Walnut St, Hico, TX 76457. The listed phone number is (254) 796-4224.

What is Jacqueline Wellborn's specialty?

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

Is Jacqueline Wellborn enrolled in Medicare?

Yes. Jacqueline Wellborn 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.

What insurance does Jacqueline Wellborn accept?

Health plans from UnitedHealthcare list Jacqueline Wellborn 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 Jacqueline Wellborn affiliated with any hospitals?

According to CMS data, Jacqueline Wellborn is affiliated with Hamilton General Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Wellborn was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.