DR. ERIC CHARLES WEIGEL (DNP) – Nurse Practitioner, NPI 1073174538
Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for DR. ERIC CHARLES WEIGEL (DNP)
512 SKYLINE BLVD STE 1
CLOQUET, MN 557201199
Phone: (218) 879-4641
Type: Mailing
819, North 19th Street, Bismarck, Burleigh County, North Dakota, 58501, United States
BISMARCK, ND 585014723
Phone: (701) 371-7295
Type: Mailing
Glendive Medical Center, 202, Prospect Drive, Glendive, Dawson County, Montana, 59330, United States
GLENDIVE, MT 593301943
Phone: (406) 345-3379
Type: Location
202 Prospect Dr
Glendive, MT 593301943
Phone: (406) 345-3379
Type: Location
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: 2021-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190906001815 | I | Nurse Practitioner | MT | TBD |
| I20211221002181 | I | Nurse Practitioner | MN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55720)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| - | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| - | MN | |
| N E U R O S U R G E R Y | MN | |
| - | MN | |
| Family Practice | MN | |
| General Surgery | MN | |
| - | MN |
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