Amy Weierman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5368 Issued in AZ

Practice address

698 E Wetmore Rd Ste 310
Tucson, AZ 85705-1752

Phone

(520) 207-3100

Fax

(520) 777-7634

NPI assigned

Sep 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amy Galipeau; Ivanich Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Dermatology, PLLCGroup PAC ID 4385013721, 4 clinicians

Dermatology and Plastic Surgery of Arizona LLCGroup PAC ID 8820225238, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.06 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

76.88

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: adweierman@directaddress.net

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.

• Dermatology and Plastic Surgery of Arizona LLC

  • MOHS-Micrographic Surgery Physician
  • Sierra Vista, AZ
  • NPI 1649611476

  AZ

  Medicare reassignment Care Compare group
• Desert Dermatology, PLLC

  • Dermatology Physician
  • Oro Valley, AZ
  • NPI 1417673112

  AZ

  Medicare reassignment Care Compare group
• Coronado Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Sierra Vista, AZ
  • NPI 1215489182
  NPD (past)

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1447409305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 E WETMORE RD STE 310",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051752",
            "telephone_number": "520-207-3100",
            "fax_number": "520-777-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 E WETMORE RD STE 310",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051752",
            "telephone_number": "520-207-3100",
            "fax_number": "520-777-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIERMAN",
        "first_name": "AMY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-003299",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GALIPEAU; IVANICH",
            "credential": "NONE WITH THESE NAME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kurt Weibel, PHARM.D.
• Kirstin Joy Weible, PT
• Josette Maria Weibrecht, M.D.
• Adam David Weidenhammer, M.D.
• Jason Thomas Weidner, CNA
• Natalya Weigel, NP
• Karen L Weihs, MD
• Andrew T Weil, MD
• Brigitte Weil, DO, MS
• John D Weilbacker, DO

• All providers in Tucson, AZ
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.