Individual provider Active NPI

Carrie A Weiss, RN

  • Family Nurse Practitioner
  • Trevose, PA
National Provider Identifier
1114275690
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024805 Issued in PA
Practice address
2500 Neshaminy Interplex Dr
Trevose, PA 19053-6943
Phone
(267) 991-7601
Fax
(267) 991-7619
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN563920 PA
Family Nurse Practitioner 363LF0000X SP024805 PA Primary

Addresses

Primary practice location

2500 Neshaminy Interplex Dr
Trevose, PA 19053-6943

Mailing address

2500 Neshaminy Interplex Dr
Trevose, PA 19053-6943
Phone (267) 991-7601

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
I20220308002951 PA Practitioner - Nurse Practitioner 5193119162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians

Practice addresses (Care Compare)

1311 Bristol Pike
Suite 120
Bensalem, PA 19020-6455
Phone (215) 632-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN563920PAMDRegistered Nurse
SP024805PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Feb 28, 2022 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Dec 29, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Feb 28, 2022 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Dec 29, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Life St. Mary Past Accepting new patients

Locations

10 Presidential Blvd
Ste 124
Bala Cynwyd, PA 19004
Phone (610) 664-9700

1311 Bristol Pike
Ste 120
Bensalem, PA 19020
Phone (215) 632-3500

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

840 Town Center Dr
Langhorne, PA 19047
Phone (215) 321-7221

4595 New Falls Rd
Unit A
Levittown, PA 19056
Phone (267) 587-3700

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

178 W Street Rd
Trevose, PA 19053
Phone (215) 322-5042

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

Interoperability endpoints

  • Direct secure messaging: cwnp@gidoc.medentdirect.com
  • Direct secure messaging: cweiss2013143@direct.trinity-health.org

Organizations & group practices 8

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 1

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1114275690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESHAMINY INTERPLEX DR",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536943",
            "telephone_number": "267-991-7601",
            "fax_number": "267-991-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESHAMINY INTERPLEX DR",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536943",
            "telephone_number": "267-991-7601",
            "fax_number": "267-991-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "CARRIE",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN563920",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trevose, PA

Sources for this page

Verify at the official NPI Registry.