Individual provider Active NPI

Thomas John Weimerskirch, FNP-C

  • Nurse Practitioner
  • Palmyra, PA
National Provider Identifier
1477978302
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP016602 Issued in PA
Practice address
941 Park Dr
Palmyra, PA 17078-3445
Phone
(717) 838-6305
Fax
(717) 838-5332
NPI assigned
Mar 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP016602 PA Primary
Family Nurse Practitioner 363LF0000X APRN78604NP WV

Addresses

Primary practice location

941 Park Dr
Palmyra, PA 17078-3445

Mailing address

PO Box 858
MC A410
Hershey, PA 17033-0858
Phone (800) 243-1455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20140521000748 WV Practitioner - Nurse Practitioner 4789807736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
WMC Physician Practices LLCGroup PAC ID 0244466753, 112 clinicians

Practice addresses (Care Compare)

131 American Way
Suite 2
Weirton, WV 26062-4080
Phone (304) 723-4040

1417 Main St
Follansbee, WV 26037-1217
Phone (304) 527-1670

1421 Main St
Follansbee, WV 26037-1217
Phone (304) 914-3893

651 Colliers Way
Weirton, WV 26062-5053
Phone (304) 797-6557

Hospital & facility affiliations

  • Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023

Merit-based Incentive Payment System (MIPS)

Final score
70.84 of 100Reported as group
Quality
35.62
Promoting interoperability
96
Improvement activities
40
Cost
70.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN78604NPWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WMC Physician Practices LLC CurrentSince Apr 1, 2014 Accepting new patients
WMC Physician Practices LLC CurrentSince Apr 1, 2014 Accepting new patients

Locations

1417 Main St
Follansbee, WV 26037
Phone (304) 527-1670

131 American Way
Ste A
Weirton, WV 26062

651 Colliers Way
Ste 300
Weirton, WV 26062
Phone (304) 797-6404

651 Colliers Way
Ste 207
Weirton, WV 26062
Phone (304) 797-6433

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 and National Provider Directory roles.

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": "1393632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1477978302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "address_2": "MC A410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330858",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 PARK DR",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170783445",
            "telephone_number": "717-838-6305",
            "fax_number": "717-838-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIMERSKIRCH",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-01",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016602",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN78604NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, PA

Sources for this page

Verify at the official NPI Registry.