NATHANIEL WELLY PAC NPI 1881741726

NPI Information

  • NPI: 1881741726
  • Provider Name: NATHANIEL WELLY, PAC
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 450 S WILLARD ST STE 103
    COTTONWOOD, AZ
    ZIP 86326
  • Phone: (928) 634-9573

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NPI Details

Nathaniel Welly, PAC is a medical physician assistant in Cottonwood, AZ with 21 years of experience. Nathaniel Welly, PAC NPI is 1881741726. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

450 S WILLARD ST STE 103
COTTONWOOD, AZ
ZIP 86326-744
Phone: (928) 634-9573
Fax: (928) 634-0135

The NPI 1881741726 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes (HCPCS:G0446)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS:G0447)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) (HCPCS:G0296)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Hemoglobin a1c level (HCPCS:83036)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)

The enumeration date for this NPI number is 1/4/2007 and was last updated on 10/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical1069801ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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