NICOLE WEEDMAN (PA) – Physician Assistant, NPI 1821615337

NICOLE WEEDMAN (PA) is a healthcare provider. based in Omaha, Nebraska. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 2441 (NE). The NPI Number for NICOLE WEEDMAN (PA) is 1821615337

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE WEEDMAN (PA)
NPI
1821615337
Phone
Not provided
Address
3919 L ST
Enumeration Date
30 June 2020
Last Update Date
30 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4022929170
Graduation Year
2019 (7 years ago)
PAC ID
5092139428
Group Practice PAC ID
3476450032
Professional Enrollment ID
I20200721003861
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

Provider Addresses for NICOLE WEEDMAN (PA)

  • 3919 L ST

    OMAHA, NE 681071164

    Phone:

    Type: Mailing

  • 2206 LONGO DR

    BELLEVUE, NE 680052901

    Phone: (402) 292-9170

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 166 Open Payments records for all available years, with a total value of $3,546.

Total Amount is formed as General ($3,546) + Research ($0) + Ownership ($0) = $3,546.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($373).

Total Amount

$3,546

General + Research + Ownership

Payments

166

Total payment records

General Amount

$3,546

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2024-05-22

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
I20240522004149IPhysician AssistantFLTBD

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
J1071Injection, testosterone cypionate, 1 mg19,17512$0
99213Established patient office or other outpatient visit, 20-29 minutes330195$0
36415Insertion of needle into vein for collection of blood sample300188$0
99214Established patient office or other outpatient visit, 30-39 minutes263180$0
96372Injection of drug or substance under skin or into muscle24334$0
View full utilization report →

Insurance plans in this area (ZIP 68107)

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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: 3476450032View full group profile
NameSpecialtyState
Physician AssistantNE
Physician AssistantIA
-NE
Family Practice, Preventive MedicineNE
Physician AssistantNE
Physician AssistantNE

Reviews

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Frequently asked questions

Does NICOLE WEEDMAN (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NICOLE WEEDMAN (PA) uses 1821615337.
Is NICOLE WEEDMAN (PA) still practicing?
NICOLE WEEDMAN (PA) is currently listed as active in the public NPI registry.
What taxonomy line describes NICOLE WEEDMAN (PA)?
For research purposes, treat NICOLE WEEDMAN (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is NICOLE WEEDMAN (PA) based?
NICOLE WEEDMAN (PA) is tied to Omaha, Nebraska in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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