QUINTON EDWARD WEIGNER (PA) – Surgical Physician Assistant, NPI 1801873500

QUINTON EDWARD WEIGNER (PA) is a healthcare provider. based in Dover afb, Delaware. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1070456 (). The NPI Number for QUINTON EDWARD WEIGNER (PA) is 1801873500

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
QUINTON EDWARD WEIGNER (PA)
NPI
1801873500
Phone
(302) 677-2669
Address
300 TUSKEGEE BLVD
Enumeration Date
23 December 2005
Last Update Date
11 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2535963300
Graduation Year
2005 (21 years ago)
PAC ID
0840435079
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20160614002388
Address ID
WA984054265TA209XXWAYX600

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

757 PHYSICIAN ASSISTANT in DE

Provider Addresses for QUINTON EDWARD WEIGNER (PA)

  • 300 TUSKEGEE BLVD

    DOVER AFB, DE 199025300

    Phone: (302) 677-2669

    Type: Location

  • Magnolia Court, Dover Air Force Base, Kent County, Delaware, 19902, United States

    #2

    DOVER, DE 199017925

    Phone: (719) 213-0999

    Type: Mailing

  • 10452 SILVERDALE WAY NW

    SILVERDALE, WA 983839411

    Phone: (360) 307-7300

    Type: Mailing

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: 2016-06-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160614002388IPhysician AssistantWATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19902)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032022579View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to QUINTON EDWARD WEIGNER (PA)?
NPI 1801873500 is assigned to QUINTON EDWARD WEIGNER (PA) under the national enumeration system.
Is QUINTON EDWARD WEIGNER (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does QUINTON EDWARD WEIGNER (PA) work in?
You can think of QUINTON EDWARD WEIGNER (PA) as practicing within Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does QUINTON EDWARD WEIGNER (PA) practice in Delaware?
You will see Dover Afb, Delaware on file for QUINTON EDWARD WEIGNER (PA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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