BRIANA R WEIDLER-EDHOLM (NP) – Nurse Practitioner, NPI 1144882069
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for BRIANA R WEIDLER-EDHOLM (NP)
17501 GENERATIONS DR
SOUTH BEND, IN 466351589
Phone: (574) 234-0049
Fax: (574) 512-2871
Type: Mailing
211, North Eddy Street, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466173096
Phone: (574) 239-1433
Fax: (574) 239-1438
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $1,190.
Total Amount is formed as General ($1,190) + Research ($0) + Ownership ($0) = $1,190.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($218).
Total Amount
$1,190
General + Research + Ownership
Payments
61
Total payment records
General Amount
$1,190
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
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: 2019-09-04
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 |
|---|---|---|---|---|
| I20190904003243 | I | Nurse Practitioner | IN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 478 | 306 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 218 | 128 | $0 |
| 83735 | Magnesium level | 213 | 135 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 162 | 103 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 48 | 44 | $0 |
Insurance plans in this area (ZIP 46635)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Gastroenterology | IN | |
| G A S T R O E N T E R O L O G Y | IL | |
| Internal Medicine, Gastroenterology | IN | |
| - | IN | |
| Gastroenterology, Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine, Gastroenterology | IN | |
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.