Individual provider Active NPI

Kelli L Weiner, M.D.

  • Anesthesiology Physician
  • Fort Collins, CO
National Provider Identifier
1427046051
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DR.0036399 Issued in CO
Practice address
2105 Bighorn Rd Ste 102
Fort Collins, CO 80525-3578
Phone
(303) 586-0582
NPI assigned
Oct 7, 2005
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X DR.0036399 CO Primary

Addresses

Primary practice location

2105 Bighorn Rd Ste 102
Fort Collins, CO 80525-3578

Mailing address

2105 Bighorn Rd Ste 102
Fort Collins, CO 80525-3578
Phone (303) 586-0582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE2 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
I20101012000667 CO Practitioner - Anesthesiology 6608068473 Reassigns benefits to 1 organization
I20251112002941 NE Practitioner - Anesthesiology 6608068473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Northstar Anesthesia of Nebraska LLCGroup PAC ID 2264857135, 21 clinicians

Practice addresses (Care Compare)

4021 Ave B
Scottsbluff, NE 69361-4602
Phone (214) 687-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0036399COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Nebraska LLC Anesthesiology CurrentSince Sep 7, 2025 Accepting new patients
Northern Colorado Anesthesia Professionals PLLC Anesthesiology CurrentSince Jul 6, 1998 Accepting new patients

Locations

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

1236 E Elizabeth St
Ste 1
Fort Collins, CO 80524
Phone (970) 236-2628

2500 E Prospect Rd
Fort Collins, CO 80525
Phone (800) 722-7441

3702 Automation Way
Ste 103
Fort Collins, CO 80525
Phone (970) 495-6201

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

2555 E 13th St
Ste 200
Loveland, CO 80537
Phone (970) 461-6200

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

Interoperability endpoints

  • Direct secure messaging: kelli.weiner@95007162564612.direct.elationemr.com

Organizations & group practices 2

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 1

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1427046051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BIGHORN RD STE 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253578",
            "telephone_number": "303-586-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BIGHORN RD STE 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253578",
            "telephone_number": "303-586-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "KELLI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0036399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.