Jacqueline Louise Wellborn, - Medicare Nurse Practitioner in Hico, TX

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Jacqueline Louise Wellborn, is a medicare enrolled "Nurse Practitioner - Family" in Hico, Texas. Her current practice location is 104 S Walnut St, Hico, Texas. You can reach out to her office (for appointments etc.) via phone at (254) 796-4224.

Jacqueline Louise Wellborn is licensed to practice in Texas (license number 2021118463) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871258152.

Contact Information

Jacqueline Louise Wellborn,
104 S Walnut St,
Hico, TX 76457
(254) 796-4224
(866) 264-2163

Map and Direction




Provider's Profile

Full NameJacqueline Louise Wellborn
GenderFemale
SpecialityNurse Practitioner - Family
Location104 S Walnut St, Hico, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871258152
  • Provider Enumeration Date: 11/02/2021
  • Last Update Date: 08/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870985765
  • Enrollment ID: I20220127000295

Medical Identifiers

Medical identifiers for Jacqueline Louise Wellborn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871258152NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 883588 (Texas)Secondary
363LF0000XNurse Practitioner - Family 2021118463 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline Louise Wellborn allows following entities to bill medicare on her behalf.
Entity NameHamilton County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326037607
PECOS PAC ID: 2062326234
Enrollment ID: O20031113000242

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Louise Wellborn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Louise Wellborn,
400 N Brown St,
Hamilton, TX 76531-1518

Ph: (254) 386-1895		Jacqueline Louise Wellborn,
104 S Walnut St,
Hico, TX 76457

Ph: (254) 796-4224

Reviews and Comments


Nurse Practitioner Nurses in Hico, TX

Mrs. Stephanie Shepherd, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 104 Walnut Street, Hico, TX 76457
Phone: 254-796-4224    Fax: 254-796-4064
Mrs. Bertha Janene Eiland, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 104 Walnut Street, Hico Clinic, Hico, TX 76457
Phone: 254-796-4224    Fax: 254-386-4064
Heather Wyatt, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 800 N. Second St, Hico, TX 76457
Phone: 254-374-0430    Fax: 254-442-0400

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.