Individual provider Active NPI

Maria Teresa Weickert

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1841758984
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010814 Issued in CA
Practice address
501 Washington St Ste 600
San Diego, CA 92103-2239
Phone
(619) 882-9304
NPI assigned
Mar 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95010814 CA Primary

Addresses

Primary practice location

501 Washington St Ste 600
San Diego, CA 92103-2239

Mailing address

501 Washington St Ste 600
San Diego, CA 92103-2239
Phone (619) 882-9304

Other practice location 1

1550 Broadway Ste 2
San Diego, CA 92101-5713
Phone (619) 515-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20190411002808 CA Practitioner - Nurse Practitioner 8628319001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Practice addresses (Care Compare)

501 Washington St
Suite 525
San Diego, CA 92103-2239
Phone (619) 278-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.21 of 100Reported as apm
Quality
90.43
Promoting interoperability
90
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Mar 7, 2019 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Mar 7, 2019 Accepting new patients
Scripps Health CurrentSince Aug 11, 2024 Accepting new patients
Scripps Health Past Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

1550 Broadway
#2
San Diego, CA 92101
Phone (619) 515-2525

501 Washington St
Ste 600
San Diego, CA 92103
Phone (619) 278-3300

501 Washington St
Ste 525600
San Diego, CA 92103
Phone (619) 278-3301

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

501 Washington St
Ste 525
San Diego, CA 92103
Phone (619) 278-3300

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1841758984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WASHINGTON ST STE 600",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032239",
            "telephone_number": "619-882-9304",
            "fax_number": "619-269-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WASHINGTON ST STE 600",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032239",
            "telephone_number": "619-882-9304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Broadway Ste 2",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921015713",
            "country_code": "US",
            "telephone_number": "619-515-2300",
            "fax_number": "619-269-0674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEICKERT",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.