Individual provider Active NPI

Jurgen Weber, PA

  • Physician Assistant
  • Stanley, ND
National Provider Identifier
1124577861
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
615 6TH St SE
Stanley, ND 58784-4444
Phone
(701) 628-2424
NPI assigned
Sep 22, 2016
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

615 6TH St SE
Stanley, ND 58784-4444

Mailing address

PO Box 399
Stanley, ND 58784-0399

Other practice location 1

1400 W Ice Lake Rd
Iron River, MI 49935-9526
Phone (906) 265-6121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20191122001010 ND Practitioner - Physician Assistant 8123303583 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacobson Memorial Hospital Care CenterGroup PAC ID 2466363981, shared by 5 NPIs, 16 clinicians

Practice addresses (Care Compare)

601 E St N
Elgin, ND 58533-7105

603 E St N
Elgin, ND 58533-7105
Phone (701) 584-3338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.32 of 100Reported as apm
Quality
71.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jacobson Memorial Hospital Care Center CurrentSince Apr 21, 2025 Accepting new patients
Jacobson Memorial Hospital Care Center CurrentSince Dec 10, 2025 Accepting new patients
Jacobson Memorial Hospital Care Center CurrentSince Dec 2, 2025 Accepting new patients
Ringgold County Hospital Past Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1124577861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "STANLEY",
            "state": "ND",
            "postal_code": "587840399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 6TH ST SE",
            "city": "STANLEY",
            "state": "ND",
            "postal_code": "587844444",
            "telephone_number": "701-628-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 W Ice Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Iron River",
            "state": "MI",
            "postal_code": "499359526",
            "country_code": "US",
            "telephone_number": "906-265-6121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JURGEN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-22",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanley, ND

Sources for this page

Verify at the official NPI Registry.