Individual provider Active NPI

Jessica Weiland

  • Emergency Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1336420595
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MT200643 Issued in PA
Practice address
2545 Schoenersville Rd
Bethlehem, PA 18017-7300
Phone
(484) 884-2888
NPI assigned
Sep 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T9038 TX
Emergency Medicine Physician 207P00000X MT200643 PA Primary

Addresses

Primary practice location

2545 Schoenersville Rd
Bethlehem, PA 18017-7300

Mailing address

2545 Schoenersville Rd
Bethlehem, PA 18017-7300
Phone (484) 884-2888

Other practice location 1

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221014001415 TX Practitioner - Emergency Medicine 3476799073 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Granbury Hospital-Based Professional ServicesGroup PAC ID 3971940966, 69 clinicians
Lubbock County Hospital DistrictGroup PAC ID 4284617507, 65 clinicians

Practice addresses (Care Compare)

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-2273

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.56
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Granbury Hospital-Based Professional Services Emergency Medicine CurrentSince Feb 24, 2025 Accepting new patients
Lubbock County Hospital District Emergency Medicine CurrentSince May 7, 2025 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Oct 12, 2022 Accepting new patients
Integrative Emergency Services Physician Group PA Emergency Medicine CurrentSince Oct 26, 2022 Accepting new patients
North Texas Toxicology PLLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

3500 Gaston Ave
Dallas, TX 75246

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1500 S Main St
Fl 1
Ft Worth, TX 76104
Phone (817) 702-1451

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

11011 Slide Rd
Lubbock, TX 79424
Phone (806) 743-2584

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

100 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-2000

Organizations & group practices 6

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 5

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": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1336420595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 SCHOENERSVILLE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177300",
            "telephone_number": "484-884-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 SCHOENERSVILLE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177300",
            "telephone_number": "484-884-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794153364",
            "country_code": "US",
            "telephone_number": "806-775-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEILAND",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T9038",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT200643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.