RAVEN WEISS (MD) – Family Medicine Physician, NPI 1639829393

RAVEN WEISS (MD) is a healthcare provider. based in Wellsville, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 04-51666 (KS). The NPI Number for RAVEN WEISS (MD) is 1639829393

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
RAVEN WEISS (MD)
NPI
1639829393
Phone
(785) 242-9889
Address
424 Main St
Enumeration Date
25 March 2022
Last Update Date
3 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7852293367
Graduation Year
2022 (4 years ago)
PAC ID
4486034154
Group Practice PAC ID
4486996907
Professional Enrollment ID
I20251029002326
Address ID
KS660673537OT1301XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for RAVEN WEISS (MD)

  • 424 Main St

    Wellsville, KS 660928878

    Phone: (785) 242-9889

    Fax: (785) 229-8447

    Type: Location

  • 1301 S Main St

    Ottawa, KS 660673537

    Phone: (785) 242-9889

    Fax: (785) 229-8447

    Type: Location

  • 12200 W 106TH ST STE 325

    OVERLAND PARK, KS 662152305

    Phone: (913) 541-6022

    Type: Mailing

  • 10500 QUIVIRA RD

    OVERLAND PARK, KS 662152373

    Phone: (913) 541-5000

    Fax: (913) 541-5625

    Type: Location

  • 901 S MAIN ST

    OTTAWA, KS 660673315

    Phone: (785) 242-9889

    Fax: (785) 229-8447

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2023-01-13 • Largest payer in this snapshot: Organon LLC ($42).

Total Amount

$42

General + Research + Ownership

Payments

2

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$42
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: 2025-10-29

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
I20251029002326IFamily PracticeKSTBD

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 66092)

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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: 4486996907View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)KS
-KS
U R O L O G YKS
Family PracticeKS
Internal Medicine, Pulmonary DiseaseKS
Family PracticeMO
Family PracticeKS
O B S T E T R I C S/ G Y N E C O L O G YKS
Pulmonary Disease, Internal Medicine, Sleep Medicine, Physical Medicine And RehabilitationMA
Mental Health CounselorKS

Reviews

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Frequently asked questions

How is RAVEN WEISS (MD) identified in CMS data?
CMS-hosted NPPES data lists RAVEN WEISS (MD) with NPI 1639829393.
Does the file indicate RAVEN WEISS (MD) is practicing under active NPI?
Directory data currently reports RAVEN WEISS (MD) as active.
What is RAVEN WEISS (MD) best known for clinically?
Directory data describes RAVEN WEISS (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does RAVEN WEISS (MD) serve?
RAVEN WEISS (MD)'s listing highlights Wellsville, Kansas; more addresses can appear in NPPES.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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