KRISTA SHAW WIESE (MD) – Emergency Medicine Physician, NPI 1942707005
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,791 EMERGENCY MEDICINE in CA
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Provider Addresses for KRISTA SHAW WIESE (MD)
Loma Linda University Medical Center, 11234, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States
GME OFFICE WESTERLY SUITE 'C'
LOMA LINDA, CA 923542804
Phone: (909) 558-6131
Type: Mailing
5600 S QUEBEC ST STE 312A
GREENWOOD VILLAGE, CO 801112208
Phone: (303) 436-2727
Type: Mailing
111 6TH ST
HUGO, CO 808212002
Phone: (719) 743-2421
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-05-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210519001755 | I | Emergency Medicine | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 143 | 139 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 132 | 122 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 49 | 49 | $0 |
| 99291 | Critical care, first 30-74 minutes | 30 | 30 | $0 |
Insurance plans in this area (ZIP 92354)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NY | |
| Emergency Medicine | CO | |
| Emergency Medicine | CO | |
| Physician Assistant | CO | |
| Emergency Medicine | NY | |
| Emergency Medicine | PA | |
| Emergency Medicine | IL | |
| Physician Assistant | NY | |
| Emergency Medicine | MI | |
| Emergency Medicine | AZ |
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