Nicole Weedman, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2441 Issued in NE

Practice address

2206 Longo Dr
Bellevue, NE 68005-2901

Phone

(402) 292-9170

NPI assigned

Jun 30, 2020

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

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Michaela G Scott MD and Associates

  • Hematology & Oncology Physician
  • Vero Beach, FL
  • NPI 1538104716
  Medicare reassignment
• Michaela G Scott MD and Associates

  • Durable Medical Equipment & Medical Supplies
  • Vero Beach, FL
  • NPI 1942364476
  NPD

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1821615337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 L ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 LONGO DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052901",
            "telephone_number": "402-292-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEDMAN",
        "first_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ce'Vyonna Zhane Watson
• Stephanie Lynn Watts
• Ways of Living, LLC
• Lillie Lyn Weatherall, MS, NCC, LIMHP
• Adrianna Webster-Brooks
• Justin Ray Wehunt
• Mark Weilage, PHD
• Amy Weiss, RN
• Earl John Welbes, D.C.
• Wellness Portal Inc

• Physician Assistant in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.