Individual provider Active NPI

Paul Weger

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1366183592
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209948 Issued in OK
Practice address
6516 N Olie Ave
Oklahoma City, OK 73116-7226
Phone
(405) 608-8060
Fax
(405) 608-8070
NPI assigned
Apr 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209948 OK Primary

Addresses

Primary practice location

6516 N Olie Ave
Oklahoma City, OK 73116-7226

Mailing address

9437 Prairie Dog Dr
Edmond, OK 73034-2081
Phone (402) 212-3523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20221014001129 OK Practitioner - Nurse Practitioner 1052787173 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Health Services LLC CurrentSince Sep 15, 2022 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

6516 N Olie Ave
Ste G
Oklahoma City, OK 73116
Phone (405) 608-8060

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1366183592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9437 PRAIRIE DOG DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730342081",
            "telephone_number": "402-212-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 N OLIE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167226",
            "telephone_number": "405-608-8060",
            "fax_number": "405-608-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGER",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-03",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "209948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.