NPIMap

Individual provider Active NPI

Carla F Weidner, MSN CRNP BC

  • Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1902838543
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP005133B Issued in PA
Practice address
1469 8TH Ave
Bethlehem, PA 18018-2256
Phone
(484) 658-8106
Fax
(866) 798-4183
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP005133B PA Primary

Addresses

Primary practice location

1469 8TH Ave
Bethlehem, PA 18018-2256

Mailing address

PO Box 13700-1432
Grand View Emergency Medicine Associates
Philadelphia, PA 19191-1432
Phone (800) 666-2455

Other names 1

  • Carla F Henseler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040429000174 PA Practitioner - Nurse Practitioner 7315934510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1700 St Lukes Blvd
Easton, PA 18045-5670

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP005133BPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince May 7, 2007 Accepting new patients
St Luke'S Physician Group Inc CurrentSince May 7, 2007 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

1469 8th Ave
Bethlehem, PA 18018
Phone (610) 419-7800

1700 St Lukes Blvd
Ste 301
Easton, PA 18045
Phone (484) 503-0500

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

Interoperability endpoints

  • Direct secure messaging: carla.weidner@slpg.direct-sluhn.org

Organizations & group practices 4

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 9

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1902838543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13700-1432",
            "address_2": "GRAND VIEW EMERGENCY MEDICINE ASSOCIATES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191911432",
            "telephone_number": "800-666-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182256",
            "telephone_number": "484-658-8106",
            "fax_number": "866-798-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDNER",
        "first_name": "CARLA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "MSN CRNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP005133B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "HENSELER",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.