NPIMap

Individual provider Active NPI

Carrie Jo Weigman, DNP

  • Primary Care Nurse Practitioner
  • Cokato, MN
National Provider Identifier
1780361105
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
10658 Issued in MN
Practice address
110 Olsen Blvd NE
Cokato, MN 55321-4359
Phone
(320) 286-2123
NPI assigned
Jun 28, 2023
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 10658 MN Primary

Addresses

Primary practice location

110 Olsen Blvd NE
Cokato, MN 55321-4359

Mailing address

16862 58TH St
Otsego, MN 55330-6435
Phone (763) 439-3710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915003445 MN Practitioner - Nurse Practitioner 8426412982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

110 Olsen Blvd NE
Cokato, MN 55321-4359
Phone (320) 286-2123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Family Medicine CurrentSince Oct 16, 2023 Accepting new patients
Allina Health System Family Medicine Current Accepting new patients
Allina Health System CurrentSince Oct 16, 2023 Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

755 Crossroads Campus Dr NE
Buffalo, MN 55313
Phone (763) 684-6300

110 Olsen Blvd NE
Cokato, MN 55321
Phone (320) 286-2123

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

1021 Bandana Blvd E
Ste 100
Saint Paul, MN 55108
Phone (877) 414-2533

Interoperability endpoints

  • Direct secure messaging: cmock203787@excellian.direct.allina.com

Organizations & group practices 3

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.

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1780361105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16862 58TH ST",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306435",
            "telephone_number": "763-439-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OLSEN BLVD NE",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553214359",
            "telephone_number": "320-286-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGMAN",
        "first_name": "CARRIE",
        "middle_name": "JO",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "10658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cokato, MN

Sources for this page

Verify at the official NPI Registry.