Alexandra Weaver, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

48206 Issued in CO

Practice address

220 E Rogers Rd
Longmont, CO 80501-6027

Phone

(303) 776-3250

Fax

(303) 682-9269

NPI assigned

Sep 26, 2009

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO, NE2 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

Specialty

Family Practice

Education

University of Colorado School of Medicine, Denver, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lexington Regional Health CenterGroup PAC ID 2860415874, shared by 7 NPIs, 25 clinicians

Cherry County HospitalGroup PAC ID 5698686012, shared by 6 NPIs, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cherry County Hospital Hospital, Valentine, NE, CCN 281344

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083

  CO, Family Medicine

  Medicare reassignment NPD
• St. Vincent General Hospital District

  • Primary Care Clinic/Center
  • Leadville, CO
  • NPI 1497710958

  CO

  Medicare reassignment NPD
• Cherry County Hospital

  • Rural Health Clinic/Center
  • Valentine, NE
  • NPI 1033218037

  Family Medicine, NE

  Medicare reassignment NPD
• Cherry County Hospital

  • Critical Access Hospital
  • Valentine, NE
  • NPI 1144329152

  NE

  Medicare reassignment NPD
• Cheyenne County Hospital Association Inc

  • Critical Access Hospital
  • Sidney, NE
  • NPI 1487736963

  NE

  Medicare reassignment NPD
• Jennie M Melham Memorial Medical Center Inc

  • Certified Registered Nurse Anesthetist
  • Broken Bow, NE
  • NPI 1366659773

  NE

  Medicare reassignment NPD
• Jennie M Melham Memorial Medical Center Inc

  • Critical Access Hospital
  • Broken Bow, NE
  • NPI 1538232244

  NE

  Medicare reassignment NPD
• Lexington Regional Health Center

  • Emergency Medicine Physician
  • Lexington, NE
  • NPI 1316016165

  NE

  Medicare reassignment NPD
• Lexington Regional Health Center

  • Critical Access Hospital
  • Lexington, NE
  • NPI 1467417352

  NE

  Medicare reassignment NPD
• Intermountain Medical Group Denver, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Intermountain Medical Group Denver, LLC

  • Hospitalist Physician
  • Denver, CO
  • NPI 1467081877
  NPD
• St. Vincent General Hospital District

  • Rural Health Clinic/Center
  • Leadville, CO
  • NPI 1467047183
  NPD

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

• Cherry County Hospital

  • Critical Access Hospital
  • Valentine, NE
  • NPI 1144329152

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1253923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1821322652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ROLLIE AVE",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211508",
            "telephone_number": "303-286-4560",
            "fax_number": "303-286-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E ROGERS RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016027",
            "telephone_number": "303-776-3250",
            "fax_number": "303-682-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ALEXANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-26",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "48206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18075509",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Warner-Jennings
• Britt Erika Warner, PA-C
• Warren H Valencia, MD, PC
• Jessica Ivy Wasieleski, LPC, ATR
• Wayne W Castle DDS PC
• John Christopher Webster, M.D.
• Stephen Jay Weddel, M.D.
• Cynthia Lee Wedel, LCSW
• Weeks Chiropractic Inc.
• Brian D Weeks, D.C.

• All providers in Longmont, CO
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.