Eliza Weis, FNP-C

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

630320 Issued in NY

Practice address

3669 Countryside LN
Marion, NY 14505-9781

Phone

(315) 926-7733

NPI assigned

Apr 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eweis18337@direct.urmc.rochester.edu

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.

• Internal Medicine Group

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1649220393

  NY

  Medicare reassignment NPD
• Strong Medical Group

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1184664948

  NY

  Medicare reassignment NPD
• University of Rochester

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1710226824

  NY

  Medicare reassignment NPD
• Internal Medicine Group

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Rochester, NY
  • NPI 1184255176
  NPD
• University of Rochester

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1598476269
  NPD

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1972923902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3669 COUNTRYSIDE LN",
            "address_2": "PO BOX 110",
            "city": "MARION",
            "state": "NY",
            "postal_code": "145059781",
            "telephone_number": "315-926-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3669 COUNTRYSIDE LN",
            "city": "MARION",
            "state": "NY",
            "postal_code": "145059781",
            "telephone_number": "315-926-7733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3863 N Main St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NY",
            "postal_code": "145059579",
            "country_code": "US",
            "telephone_number": "315-926-2431",
            "fax_number": "315-926-5048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIS",
        "first_name": "ELIZA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2021-12-09",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338683",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "630320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayley Marie Soucy, RN
• Allison Marie Stepnowski
• Terry Jean Yonker Psychiatric Nurse Practitioner PC
• Lisa Marie Titus, LPN
• Kimberly Valone, OT/L

• All providers in Marion, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.