NPIMap

Individual provider Active NPI

Sera Evelyn Babino Weber, PA-S

  • Physician Assistant
  • Moscow, ID
National Provider Identifier
1518697887
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1271683 Issued in ID
Practice address
700 S Main St
Moscow, ID 83843-3046
Phone
(208) 882-4511
Fax
(208) 883-6580
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1271683 ID Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

700 S Main St
Moscow, ID 83843-3046

Mailing address

PO Box 8007
Moscow, ID 83843-0507
Phone (208) 882-4511

Other practice location 1

2500 W A St Ste 101
Moscow, ID 83843-6000
Phone (208) 882-0540

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sweber277118@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231115000775 OR Practitioner - Physician Assistant 8325495229
I20251215001284 ID Practitioner - Physician Assistant 8325495229 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gritman Medical Center IncGroup PAC ID 0941545784, 27 clinicians

Practice addresses (Care Compare)

2500 W a St
Suite 101
Moscow, ID 83843-6000
Phone (208) 882-0540

623 S Main St
Suite 1
Moscow, ID 83843-2983
Phone (208) 882-2011

700 S Main St
Moscow, ID 83843-3056
Phone (208) 883-6236

PO Box
Suite 8007
Moscow, ID 83843

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1271683IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gritman Medical Center, Inc. CurrentSince Dec 22, 2025 Accepting new patients
Gritman Medical Center, Inc. CurrentSince Dec 22, 2025 Accepting new patients
Gritman Medical Center Inc. CurrentSince Jan 1, 2025 Accepting new patients
Gritman Medical Center Inc CurrentSince Jan 1, 2025 Accepting new patients
Catalyst Medical Group, PLLC Past Accepting new patients

Locations

2500 W A St
Ste 101
Moscow, ID 83843
Phone (208) 882-0540

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

623 S Main St
Ste 1
Moscow, ID 83843
Phone (208) 882-2011

Interoperability endpoints

  • Direct secure messaging: sweber277118@samhealth.direct-ci.com

Organizations & group practices 5

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1518697887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8007",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430507",
            "telephone_number": "208-882-4511",
            "fax_number": "208-883-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S MAIN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433046",
            "telephone_number": "208-882-4511",
            "fax_number": "208-883-6580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W A St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838436000",
            "country_code": "US",
            "telephone_number": "208-882-0540",
            "fax_number": "208-883-1853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "SERA",
        "middle_name": "EVELYN BABINO",
        "name_prefix": "Mrs.",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "1271683",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sweber277118@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.