Individual provider Active NPI

Spencer Weiler, PA-C

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1902328883
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0005529 Issued in CO
Practice address
569 32 Rd Ste 12
Grand Junction, CO 81504-6095
Phone
(970) 523-3544
Fax
(970) 434-3422
NPI assigned
Jul 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10434311-1206 UT
Family Medicine Physician 207Q00000X 0005529 CO Primary

Addresses

Primary practice location

569 32 Rd Ste 12
Grand Junction, CO 81504-6095

Mailing address

2303 S Townsend Ave Ste a
Montrose, CO 81401-5452
Phone (970) 249-7751

Other practice location 1

3244 Carroll ave
Moab, UT 32608
Phone (801) 792-8741

Other identifiers 1

IdentifierTypeStateIssuer
0005529OtherCOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20181008003330 CO Practitioner - Physician Assistant 9638430192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Point Health LLCGroup PAC ID 0143119586, 45 clinicians

Practice addresses (Care Compare)

3330 S Rio Grande Ave
Montrose, CO 81401-4273
Phone (970) 249-7751

569 32 Rd
Suite 12
Grand Junction, CO 81504-6095
Phone (970) 523-3544

Hospital & facility affiliations

  • Community Hospital Hospital, Grand Junction, CO, CCN 060054
  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0005529COMDFamily Medicine Physician
10434311-1206UTMDFamily Medicine Physician

Organizations & group practices 1

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 5

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1902328883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S TOWNSEND AVE STE A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015452",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 32 RD STE 12",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815046095",
            "telephone_number": "970-523-3544",
            "fax_number": "970-434-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3244 Carroll ave",
            "address_purpose": "LOCATION",
            "city": "Moab",
            "state": "UT",
            "postal_code": "32608",
            "country_code": "US",
            "telephone_number": "801-792-8741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEILER",
        "first_name": "SPENCER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "10434311-1206",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0005529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0005529",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.