Nicole Elizabeth Welborn, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fountain Inn, South Carolina. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prisma Health University Medical Group and her current practice location is
200 N Nelson Dr, Fountain Inn, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 522-6270.
Nicole Elizabeth Welborn is licensed to practice in South Carolina (license number 20242) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619420650.
Provider's Profile
Full Name | Nicole Elizabeth Welborn |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 8 Years |
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Location | 200 N Nelson Dr, Fountain Inn, South Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Nicole Elizabeth Welborn graduated from nursing school in 2016
NPI Data:
- NPI Number: 1619420650
- Provider Enumeration Date: 07/26/2016
- Last Update Date: 03/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416238845
- Enrollment ID: I20161227000614
Medical Identifiers
Medical identifiers for Nicole Elizabeth Welborn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619420650 | NPI | - | NPPES |
NP4225 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 20242 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Prisma Health University Medical Group | 8325950983 | 2201 |
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. Nicole Elizabeth Welborn allows following entities to bill medicare on her behalf.
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
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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. Nicole Elizabeth Welborn 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 Address | Practice Location Address |
Nicole Elizabeth Welborn, FNP 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Nicole Elizabeth Welborn, FNP 200 N Nelson Dr, Fountain Inn, SC 29644 Ph: (864) 522-6270 |
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