Individual provider Active NPI

Nancy Waite Weber, D.O.

  • Emergency Medicine Physician
  • El Paso, TX
National Provider Identifier
1609052703
Registry record updated Oct 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R9888 Issued in TX
Practice address
4815 Alameda Ave
El Paso, TX 79905-2705
Phone
(915) 215-4600
Fax
(915) 545-7338
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L1172772 MI
Emergency Medicine Physician 207P00000X R9888 TX Primary

Addresses

Primary practice location

4815 Alameda Ave
El Paso, TX 79905-2705

Mailing address

4801 Alberta Ave Ste B3200
El Paso, TX 79905-2707
Phone (915) 215-4759

Other practice location 1

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 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
I20110211000758 MI Practitioner - Emergency MedicinePractitioner - Internal Medicine 7810177565 Reassigns benefits to 3 organizations
I20181018002286 TX Practitioner - Emergency Medicine 7810177565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Tech University Health Sciences Center El PasoGroup PAC ID 7517864754, 306 clinicians

Practice addresses (Care Compare)

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-6000

Hospital & facility affiliations

  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1172772MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Dec 7, 2018 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Feb 12, 2017 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Dec 7, 2018 Accepting new patients
Emergency Professionals of Michigan, P.C. Emergency Medicine CurrentSince Aug 1, 2013 Accepting new patients
Ecs Central Michigan PC Emergency Medicine CurrentSince Mar 25, 2019 Accepting new patients
Texas Tech University Health Sciences Center Odessa Past Accepting new patients
Emergency Department Physicians, P.C. Emergency Medicine Past Accepting new patients

Locations

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

4801 Alberta Ave
Ste B3200
El Paso, TX 79905
Phone (915) 215-4600

Interoperability endpoints

  • Direct secure messaging: nancy.weber@direct.myhealthep.org

Organizations & group practices 8

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 3

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": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666483200000",
    "number": "1609052703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 ALBERTA AVE STE B3200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052707",
            "telephone_number": "915-215-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052705",
            "telephone_number": "915-215-4600",
            "fax_number": "915-545-7338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Collins Rd",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489108394",
            "country_code": "US",
            "telephone_number": "517-975-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "NANCY",
        "middle_name": "WAITE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2022-10-23",
        "certification_date": "2022-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "L1172772",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R9888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.