LAURA JEAN WEITZEL (MD) – Internal Medicine Physician, NPI 1073927794

LAURA JEAN WEITZEL (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 2014019466 (MO). The NPI Number for LAURA JEAN WEITZEL (MD) is 1073927794

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
LAURA JEAN WEITZEL (MD)
NPI
1073927794
Phone
(636) 290-3731
Address
615 S NEW BALLAS RD
Enumeration Date
20 June 2014
Last Update Date
20 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6362398231
Graduation Year
2014 (12 years ago)
PAC ID
6305115601
Group Practice PAC ID
3577630540
Professional Enrollment ID
I20170629001999
Address ID
MO630903127WA901XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,190 INTERNAL MEDICINE in MO

Provider Addresses for LAURA JEAN WEITZEL (MD)

  • 615 S NEW BALLAS RD

    SAINT LOUIS, MO 631418221

    Phone: (636) 290-3731

    Mailing address matches the actual address.

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: 2017-06-29

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
I20170629001999IInternal MedicineMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes208199$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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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: 3577630540View full group profile
NameSpecialtyState
Internal MedicineMO
Family Practice, HospitalistIL
Internal MedicineMO
Internal MedicineMO
Hospitalist, Internal MedicineMO
Internal Medicine, Hospitalist, Internal MedicineMO
Family PracticeMO
Internal Medicine, HospitalistMO
Nurse PractitionerMO
Internal MedicineMO

Reviews

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Frequently asked questions

Can I verify LAURA JEAN WEITZEL (MD) with an NPI only?
You can start verification with NPI 1073927794 for LAURA JEAN WEITZEL (MD), then check state licensing separately.
Is LAURA JEAN WEITZEL (MD) listed as active for patients and plans?
The listing shows LAURA JEAN WEITZEL (MD) as active in the NPI system.
What is LAURA JEAN WEITZEL (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for LAURA JEAN WEITZEL (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for LAURA JEAN WEITZEL (MD)?
LAURA JEAN WEITZEL (MD)'s geographic hint is Saint Louis, Missouri in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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