ANDREA R WEIGAND (PA-C) – Physician Assistant, NPI 1285873448
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for ANDREA R WEIGAND (PA-C)
PO BOX 9
NAMPA, ID 836530009
Phone: (208) 467-4431
Fax: (208) 466-5359
Type: Mailing
40732 Van Dyke Ave
Sterling Heights, MI 483133741
Phone: (586) 977-1510
Type: Location
848 S LA CASSIA DR
BOISE, ID 837052253
Phone: (208) 344-0086
Fax: (208) 466-5359
Type: Location
40732, Van Dyke Avenue, Sterling Heights, Macomb County, Michigan, 48313, United States
STERLING HEIGHTS, MI 483133741
Phone: (586) 977-1510
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $317.
Total Amount is formed as General ($317) + Research ($0) + Ownership ($0) = $317.
Last reported payment date: 2023-10-26 • Largest payer in this snapshot: Lilly USA, LLC ($82).
Total Amount
$317
General + Research + Ownership
Payments
17
Total payment records
General Amount
$317
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-08-27
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 |
|---|---|---|---|---|
| I20240827004731 | I | Physician Assistant | ID | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 83653)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | CA | |
| - | ID | |
| Family Practice | ID | |
| - | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Nurse Practitioner | TX | |
| - | ID | |
| - | ID | |
| Family Practice | ID |
Reviews
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