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

Nathaniel Welly, PAC

Individual provider Medical Physician Assistant · NPI 1881741726

Nathaniel Welly, PAC is a Physician Assistant in Cottonwood, Arizona. Qualified in 2005, 21 years ago. Practices with Prescott Healthcare Solutions LLC, a 199-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
21
Licensed in
AZ
In the registry since
2007
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

450 S Willard St Ste 103
Cottonwood, AZ 86326-6744
Phone: (928) 634-9573
Fax: (928) 634-0135
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1069801 (AZ)

Record details

NPI number1881741726
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 4, 2007
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Prescott Healthcare Solutions Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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