HEIDI S WEAVER (MD) – Obstetrics & Gynecology Physician, NPI 1639462906

HEIDI S WEAVER (MD) is a healthcare provider. based in Blackfoot, Idaho. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. MD60967845 (WA). The NPI Number for HEIDI S WEAVER (MD) is 1639462906

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
HEIDI S WEAVER (MD)
NPI
1639462906
Phone
(208) 782-3900
Address
98 POPLAR ST
Enumeration Date
19 May 2011
Last Update Date
2 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
2567601784
Group Practice PAC ID
6709787872
Professional Enrollment ID
I20191210002068
Address ID
WA993509515PR336XXAVEX300

Contacts

Secure Messaging
hweaver1158279@wm.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

201 OBSTETRICS/GYNECOLOGY in ID

Provider Addresses for HEIDI S WEAVER (MD)

  • 98 POPLAR ST

    BLACKFOOT, ID 832211758

    Phone: (208) 782-3900

    Fax: (208) 782-3986

    Type: Mailing

  • 723 MEMORIAL ST

    PROSSER, WA 993501524

    Phone: (509) 786-2222

    Fax: (509) 786-6612

    Type: Mailing

  • 336 CHARDONNAY AVE BLDG 3

    PROSSER, WA 993509515

    Phone: (509) 786-0031

    Fax: (509) 786-0047

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $547.

Total Amount is formed as General ($547) + Research ($0) + Ownership ($0) = $547.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($213).

Total Amount

$547

General + Research + Ownership

Payments

21

Total payment records

General Amount

$547

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-12-10

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
I20191210002068IObstetrics/GynecologyWATBD

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 83221)

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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: 6709787872View full group profile
NameSpecialtyState
Diagnostic RadiologyAZ
Family PracticeWA
Emergency MedicineWA
Nurse PractitionerWA
Certified Nurse Midwife (Cnm)WA
Family PracticeWA
N E P H R O L O G YWA
Geriatric MedicineWA
Internal MedicineIN
Nurse PractitionerWA

Reviews

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Frequently asked questions

How do I look up HEIDI S WEAVER (MD) by NPI?
Use NPI 1639462906 when you need to reference HEIDI S WEAVER (MD) in forms, claims, or directories.
Is HEIDI S WEAVER (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does HEIDI S WEAVER (MD) treat or focus on?
Patients typically see HEIDI S WEAVER (MD) under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location shows for HEIDI S WEAVER (MD)?
We surface Blackfoot, Idaho for HEIDI S WEAVER (MD) based on available NPPES addresses.
How can I contact HEIDI S WEAVER (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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