Active NPI
Kimberly J Weisser, PA
- Physician Assistant
- Brush, CO
National Provider Identifier
1083670848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2030
- Practice address
- 2400 Edison St
Brush, CO 80723-1642 - Phone
- (970) 842-6200
- Fax
- (970) 842-3572
- NPI assigned
- Apr 21, 2006
- Last updated
- Jan 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2030 | CO | Primary |
Addresses
Primary practice location
2400 Edison St
Brush, CO 80723-1642
Mailing address
1010 N Country Club Dr
Mesa, AZ 85201-3309
Phone (480) 461-2409
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Edison St
Suite 101 Banner Family Medicine Brush
Brush, CO 80723-1640
Phone (970) 842-6262
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2030 | CO | MD | Mental Health Counselor |
| 580 | CO | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Morgan County Hospital | Current | Accepting new patients | |
| East Morgan County Hospital | Current | Accepting new patients | |
| Sterling Regional Medcenter | Past | Accepting new patients |
Locations
2400 Edison St
Brush, CO 80723
Phone (970) 842-2833
909 E Railroad Ave
Fort Morgan, CO 80701
Phone (970) 542-4700
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Brush, CO
- NPI 1699708743
-
dba Banner Health Clinic Fort Morgan
- Rural Health Clinic/Center
- Fort Morgan, CO
- NPI 1356051510
-
- General Acute Care Hospital
- Sterling, CO
- NPI 1942238555
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Colorado Plains Medical Center Home Care
- Home Health Agency
- Fort Morgan, CO
- NPI 1417494360
-
- Critical Access Hospital
- Brush, CO
- NPI 1699708743
-
- General Acute Care Hospital
- Loveland, CO
- NPI 1174231682
-
- Critical Access Hospital
- Greeley, CO
- NPI 1255971404
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1477376986
-
- Special Hospital
- Loveland, CO
- NPI 1487535431
-
- Critical Access Hospital
- Greeley, CO
- NPI 1578103750
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1720004450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1083670848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N COUNTRY CLUB DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852013309",
"telephone_number": "480-461-2409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 EDISON ST",
"city": "BRUSH",
"state": "CO",
"postal_code": "807231642",
"telephone_number": "970-842-6200",
"fax_number": "970-842-3572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISSER",
"first_name": "KIMBERLY",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-21",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "2030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brush, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.