Kaitlyn Weigang, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4055 Issued in CO

Practice address

4565 Kendall Pkwy
Loveland, CO 80538-9268

Phone

(970) 410-8228

NPI assigned

Aug 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Sunrise Community Health

  • Federally Qualified Health Center (FQHC)
  • Loveland, CO
  • NPI 1902005382

  CO

  Medicare reassignment
• Uhs of Centennial Peaks LLC

  • Psychiatric Hospital
  • Louisville, CO
  • NPI 1760623888

  CO

  Medicare reassignment
• Sunrise Community Health

  • Federally Qualified Health Center (FQHC)
  • Evans, CO
  • NPI 1295732048
  NPD
• Uhs of Centennial Peaks, LLC

  • Family Nurse Practitioner
  • Louisville, CO
  • NPI 1386179711

  Physician Assistant

  NPD

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1124427703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S TOPAZ WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424474",
            "telephone_number": "208-605-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 KENDALL PKWY",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389268",
            "telephone_number": "970-410-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2255 S 88th St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800279728",
            "country_code": "US",
            "telephone_number": "303-673-9990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Automation Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805253451",
            "country_code": "US",
            "telephone_number": "970-900-5835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIGANG",
        "first_name": "KAITLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "4055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51633868",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienne Weber
• Samantha Weber
• Douglas S Webster, MD
• Lydia Webster
• Melanie Weichel, OTR/L
• Colleen A Weissmann, MD
• Jennifer Lynn Weitenberner, M.D.
• Connor Welle
• Casey Marie Weller
• Wellistra Healthcare LLC

• Physician Assistant in Loveland, CO
• Providers in Loveland, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.