Active NPI
Vicky Lynn Weidner, M.D.
- Emergency Medicine Physician
- Wyandotte, OK
National Provider Identifier
1770540221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 15349
- Practice address
- 1 Turtle Dr
Wyandotte, OK 74370-2114 - Phone
- (918) 678-2282
- Fax
- (918) 678-3136
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 113030 | MT | |
| Emergency Medicine Physician | 207P00000X | 12846203-1205 | UT | |
| Emergency Medicine Physician | 207P00000X | M-16685 | ID | |
| Emergency Medicine Physician | 207P00000X | 15349 | OK | Primary |
| General Practice Physician | 208D00000X | 15349 | OK |
Addresses
Primary practice location
1 Turtle Dr
Wyandotte, OK 74370-2114
Mailing address
11933 S Erie Ave
Tulsa, OK 74137-8433
Phone (918) 261-1225
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930016273 | Other | OK | RR MEDICARE |
| 100135210A | Medicaid | OK | |
| P00159520 | Other | OK | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040120000660 | OK | Practitioner - Emergency Medicine | 4284535394 | Reassigns benefits to 15 organizations |
| I20240410000561 | TX | Practitioner - Emergency Medicine | 4284535394 | Reassigns benefits to 2 organizations |
| I20250522000366 | MN | Practitioner - Emergency Medicine | 4284535394 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Oklahoma College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Turtle Dr
Wyandotte, OK 74370-2114
Phone (918) 678-2282
Hospital & facility affiliations
- Mercy Hospital Joplin
- Integris Miami Hospital
- Freeman Health System - Freeman West
- Mercy Specialty Hospital Southeast Kansas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-16685 | ID | MD | Emergency Medicine Physician |
| 113030 | MT | MD | Emergency Medicine Physician |
| 12846203-1205 | UT | MD | Emergency Medicine Physician |
| 15349 | OK | MD | Clinic Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtualcare Medical Group of Ar PA | Current | Accepting new patients | |
| Virtualcare Medical Group of NE PC | Current | Accepting new patients | |
| Virtualcare Medical Services of Ny PC | Current | Accepting new patients | |
| Virtualcare Medical Group PA | Current | Accepting new patients | |
| Virtualcare Medical Group of Az PC | Current | Accepting new patients | |
| Virtualcare Medical Group of NV-Feng PC | Current | Accepting new patients | |
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | Accepting new patients |
| Allina Health System | General Practice | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | General Practice | Current | Accepting new patients |
| South Central Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Tulsa County, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556
200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696
Interoperability endpoints
- vweidner202401@ahs.direct-ci.com
Organizations & group practices 21
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.
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
Emergency Medicine, OK
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
Emergency Medicine, OK
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webb City, MO
- NPI 1114394228
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1770540221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11933 S ERIE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741378433",
"telephone_number": "918-261-1225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TURTLE DR",
"city": "WYANDOTTE",
"state": "OK",
"postal_code": "743702114",
"telephone_number": "918-678-2282",
"fax_number": "918-678-3136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIDNER",
"first_name": "VICKY",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MT",
"license": "113030",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "UT",
"license": "12846203-1205",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "M-16685",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "15349",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OK",
"license": "15349",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "930016273",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100135210A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00159520",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wyandotte, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.