Individual provider Active NPI

Kaitlyn Lee Weiman, CRNP

  • Family Nurse Practitioner
  • Columbia, PA
National Provider Identifier
1083297626
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022950 Issued in PA
Practice address
306 N 7TH St
Columbia, PA 17512-2137
Phone
(717) 684-9106
NPI assigned
May 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP022950 PA Primary

Addresses

Primary practice location

306 N 7TH St
Columbia, PA 17512-2137

Mailing address

306 N 7TH St
Columbia, PA 17512-9998
Phone (717) 684-9106

Other names 1

  • Kaitlyn Lee Wallace Former name

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
I20210525002074 PA Practitioner - Nurse Practitioner 6800295841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

306 N 7TH St
Penn Medicine Lancaster General Health Phys
Columbia, PA 17512-2137
Phone (717) 684-9106

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Nov 1, 2022 Accepting new patients
Lancaster General Health - Columbia Center CurrentSince Jun 27, 2021 Accepting new patients
Lancaster General Medical Group CurrentSince Nov 1, 2022 Accepting new patients
Lancaster General Health - Columbia Center CurrentSince Jun 27, 2021 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1605 Lititz Pike
Lancaster, PA 17601
Phone (717) 290-7201

6415 Lincoln Hwy
Wrightsville, PA 17368
Phone (717) 252-1200

Organizations & group practices 6

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

Hospital & facility affiliations 3

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": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1083297626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N 7TH ST",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175129998",
            "telephone_number": "717-684-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N 7TH ST",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175122137",
            "telephone_number": "717-684-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIMAN",
        "first_name": "KAITLYN",
        "middle_name": "LEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-02",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "WALLACE",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, PA

Sources for this page

Verify at the official NPI Registry.