Individual provider Active NPI

Leah G Weidemoyer, CRNP

  • Adult Health Nurse Practitioner
  • Sellersville, PA
National Provider Identifier
1043515190
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP011121 Issued in PA
Practice address
817 Lawn Ave
Suite 4
Sellersville, PA 18960-1579
Phone
(215) 257-8391
Fax
(215) 453-6955
NPI assigned
Jan 21, 2011
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP011121 PA Primary

Addresses

Primary practice location

817 Lawn Ave
Suite 4
Sellersville, PA 18960-1579

Mailing address

PO Box 1111
Harleysville, PA 19438-0907
Phone (215) 453-4995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110818000182 PA Practitioner - Nurse Practitioner 4587833058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand View HospitalGroup PAC ID 8022001924, 94 clinicians

Practice addresses (Care Compare)

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (215) 453-4118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grand View Hospital Adult Health CurrentSince Feb 20, 2019 Accepting new patients

Locations

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

Interoperability endpoints

  • Direct secure messaging: lweidemoyer350656@direct-sluhn.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1043515190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194380907",
            "telephone_number": "215-453-4995",
            "fax_number": "215-453-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 LAWN AVE",
            "address_2": "SUITE 4",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601579",
            "telephone_number": "215-257-8391",
            "fax_number": "215-453-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDEMOYER",
        "first_name": "LEAH",
        "middle_name": "G",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP011121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.