Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. John L Welborn IV, FNP-C

Individual provider Family Nurse Practitioner · NPI 1427496835

Mr. John L Welborn IV, FNP-C is a Nurse Practitioner in Gouverneur, New York. Qualified in 2012, 14 years ago. Practices with Thrive Wellness and Recovery Inc, a 9-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2013
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

77 W Barney St
Gouverneur, NY 13642-1040
Phone: (315) 261-6333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 611 W Main St, Watertown, NY 13601-1337 — (315) 788-1530

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F337418 (NY)

Record details

NPI number1427496835
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 7, 2013
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Thrive Wellness And Recovery Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Gouverneur