Erin Marie Weiss, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2004021591 Issued in MO

Practice address

1241 W Stadium Blvd
Jefferson City, MO 65109-6023

Phone

(573) 635-5264

Fax

(573) 761-4351

NPI assigned

Feb 1, 2006

Last updated

Aug 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Erin Marie Hutton Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson City Medical Group PCGroup PAC ID 1850371089, 117 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erin.weiss@jcmg.eclinicaldirectplus.com

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.

• Jefferson City Medical Group, P.C.

  • Multi-Specialty Clinic/Center
  • Jefferson City, MO
  • NPI 1336189398
  Medicare reassignment Care Compare group NPD
• Jefferson City Medical Group, P.C.

  dba JCMG Laboratory

  • Clinical Medical Laboratory
  • Jefferson City, MO
  • NPI 1811292105
  NPD
• Jefferson City Medical Group, P.C.

  dba Express Care- Elm Court

  • Family Medicine Physician
  • Jefferson City, MO
  • NPI 1104645274
  NPD (past)
• Jefferson City Medical Group, P.C.

  dba JCMG Infusion

  • Infusion Therapy Clinic/Center
  • Jefferson City, MO
  • NPI 1477618486
  NPD (past)
• Jefferson City Medical Group, P.C.

  dba Pediatrics

  • Pediatrics Physician
  • Jefferson City, MO
  • NPI 1689614646
  NPD (past)
• Jefferson City Medical Group, P.C.

  dba JCMG Podiatry

  • Podiatrist
  • Jefferson City, MO
  • NPI 1871549345
  NPD (past)
• Jefferson City Medical Group, P.C.

  dba Jefferson City Dermatology

  • Dermatology Physician
  • Jefferson City, MO
  • NPI 1972668903
  NPD (past)
• Jefferson City Medical Group, PC

  dba JCMG Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Jefferson City, MO
  • NPI 1164830337
  NPD (past)
• Jefferson City Medical Group, PC

  dba Express Care of JCMG

  • Emergency Medicine Physician
  • Jefferson City, MO
  • NPI 1174979520
  NPD (past)
• Jefferson City Medical Group, PC

  dba JCMG Path Lab

  • Anatomic Pathology & Clinical Pathology Physician
  • Jefferson City, MO
  • NPI 1235723701
  NPD (past)
• Jefferson City Medical Group, PC

  • Multi-Specialty Clinic/Center
  • Jefferson City, MO
  • NPI 1457763633
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1659343085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104240",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651104240",
            "telephone_number": "573-635-5264",
            "fax_number": "573-761-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 W STADIUM BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096023",
            "telephone_number": "573-635-5264",
            "fax_number": "573-761-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2004021591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "Bluemark LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "HUTTON",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Naomi Hope Weibling
• Rebecca Jean Weider, LPN, IBCLC
• Kelley Lucille Weidinger, ATC, LAT
• Kate Good Weir, LPC, RPT
• Andrew L. Weiss, M.D.
• James J. Weiss, M.D.
• Radonna Wells
• Vernon Dale Welschmeyer, MSN, APRN, FNP-BC
• Jeannette Lucille Welty, LCSW
• Hilary Marie Wendell, D.C.

• Physician Assistant in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.