Individual provider Active NPI

Danielle Evelyn Weiss, M,D,

  • Endocrinology, Diabetes & Metabolism Physician
  • Wasilla, AK
National Provider Identifier
1275731515
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A96446 Issued in CA
Practice address
3066 E Meridian Park Loop Ste 1
Wasilla, AK 99654-7254
Phone
(907) 357-2332
Fax
(833) 464-5204
NPI assigned
Jul 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A96446 CA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A96446 CA Primary

Addresses

Primary practice location

3066 E Meridian Park Loop Ste 1
Wasilla, AK 99654-7254

Mailing address

PO Box 235841
Encinitas, CA 92023-5841
Phone (760) 753-3636

Other practice location 1

4407 Manchester Ave
Ste 101
Encinitas, CA 92024-4941
Phone (760) 753-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101006000097 CA Practitioner - Endocrinology 0941492201 Reassigns benefits to 1 organization
Practice locations: Encinitas, CA
I20230518001150 AK Practitioner - Endocrinology 0941492201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
New York University Medical College - NLG, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Medical Network of Alaska LLCGroup PAC ID 3072618859, shared by 4 NPIs, 70 clinicians

Practice addresses (Care Compare)

1700 E Bogard Rd
Wasilla, AK 99654-6570
Phone (907) 921-5088

3066 E Meridian Park Loop
Wasilla, AK 99654-7254
Phone (907) 357-9590

6415 Arches Way
Carlsbad, CA 92009-3088
Phone (907) 357-2332

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Network of Alaska, LLC Current Accepting new patients
Medical Network of Alaska, LLC Endocrinology, Diabetes & Metabolism CurrentSince Mar 1, 2023 Accepting new patients
Wave Wellness Clinic Professional Corporation CurrentSince Nov 12, 2024 Accepting new patients
Scripps Health Current Accepting new patients
Medical Network of Alaska, LLC CurrentSince Apr 1, 2023 Accepting new patients
Medical Network of Alaska, LLC Current Accepting new patients
Medical Network of Alaska, LLC CurrentSince Mar 1, 2023 Accepting new patients
Center for Hormonal Health and Well-Being Endocrinology, Diabetes & Metabolism PastSince Sep 1, 2010 Accepting new patients
Medical Network of Alaska, LLC Past Accepting new patients

Locations

3066 E Meridian Park Loop
Ste 1
Wasilla, AK 99654
Phone (907) 707-1671

3066 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332

3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332

3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625

4407 Manchester Ave
Ste 101
Encinitas, CA 92024
Phone (760) 652-6800

Interoperability endpoints

  • Direct secure messaging: danielle.weiss.1@27294.direct.athenahealth.com
  • Direct secure messaging: dweiss28136@scrippshlth.medalliesdirect.net

Organizations & group practices 9

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": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1275731515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235841",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920235841",
            "telephone_number": "760-753-3636",
            "fax_number": "760-465-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 E MERIDIAN PARK LOOP STE 1",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547254",
            "telephone_number": "907-357-2332",
            "fax_number": "833-464-5204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4407 MANCHESTER AVE",
            "address_2": "STE 101",
            "address_purpose": "LOCATION",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244941",
            "country_code": "US",
            "telephone_number": "760-753-3636",
            "fax_number": "760-465-2332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "DANIELLE",
        "middle_name": "EVELYN",
        "credential": "M,D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-09",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A96446",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A96446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.