Kenan Weidner

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP030911 Issued in PA

Practice address

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324

Phone

(610) 272-8221

NPI assigned

Oct 23, 2024

Last updated

Jun 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creek Medical PLLCGroup PAC ID 7315257540, 12 clinicians

Suburban Geriatric's, Inc.Group PAC ID 4486551371, 102 clinicians

Suburban Geriatrics II PCGroup PAC ID 9537552419, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Creek Medical, PLLC

  • Internal Medicine Physician
  • York, PA
  • NPI 1376929679
  Medicare reassignment Care Compare group NPD
• Suburban Geriatrics II PC

  • Internal Medicine Physician
  • Plymouth Meeting, PA
  • NPI 1073273363
  Medicare reassignment Care Compare group
• Suburban Geriatrics, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Plymouth Meeting, PA
  • NPI 1679594808
  Medicare reassignment Care Compare group
• Suburban Geriatrics at Home PC

  • Internal Medicine Physician
  • Plymouth Meeting, PA
  • NPI 1568122844
  Medicare reassignment
• Violet Valley Long Term Care PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Plymouth Meeting, PA
  • NPI 1649164617
  Medicare reassignment

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

• Lancaster General Hospital

  • General Acute Care Hospital
  • Lancaster, PA
  • NPI 1104875103
  Care Compare affiliation
• Lancaster General Hospital

  dba Parkesburg Outpatient Center

  • General Acute Care Hospital
  • Parkesburg, PA
  • NPI 1245571942
  Care Compare affiliation
• Lancaster General Hospital

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1538290424

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1538980313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 AUTUMN HARVEST LANE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "17543",
            "telephone_number": "610-780-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 JOLLY RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622324",
            "telephone_number": "610-272-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDNER",
        "first_name": "KENAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-23",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne Webner, LPN
• Shena Weems, LPN
• Tamatha Weems
• Jacquelyn Weiblinger
• Dawn Weidemoyer
• Jill Shari Weinberg, MS OTR/L
• Haley Weinberger
• Jerome Weiner
• Craig Weinsweig, RPH
• Karen C Weir, FNP

• Family Nurse Practitioner in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.