Individual provider Active NPI

Andrea Lynn Weber, M.D.

  • Family Medicine Physician
  • Conifer, CO
National Provider Identifier
1003810482
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39478 Issued in CO
Practice address
26659 Pleasant Park Rd
Conifer, CO 80433-7714
Phone
(303) 647-5300
NPI assigned
Jun 13, 2005
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39478 CO Primary

Addresses

Primary practice location

26659 Pleasant Park Rd
Conifer, CO 80433-7714

Mailing address

26659 Pleasant Park Rd
Conifer, CO 80433-7768
Phone (303) 647-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001237 CO Practitioner - Family Practice 6901889922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conifer Medical Center, PCGroup PAC ID 4789676131, 16 clinicians

Practice addresses (Care Compare)

26659 Pleasant Park Rd
Conifer, CO 80433-7768
Phone (303) 647-5300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39478COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conifer Medical Center, PC Family Medicine CurrentSince Aug 2, 2004 Accepting new patients
Conifer Medical Center, PC Family Medicine Past Accepting new patients

Locations

26659 Pleasant Park Rd
Conifer, CO 80433
Phone (303) 647-5300

Networks

  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP

Interoperability endpoints

  • Direct secure messaging: andrea.weber@cmcp.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1003810482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26659 PLEASANT PARK RD",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337768",
            "telephone_number": "303-647-5300",
            "fax_number": "877-892-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26659 PLEASANT PARK RD",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337714",
            "telephone_number": "303-647-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conifer, CO

Sources for this page

Verify at the official NPI Registry.