JACQUELINE WEBER (CNM) – Advanced Practice Midwife, NPI 1689113060

JACQUELINE WEBER (CNM) is a healthcare provider. based in Longview, Texas. specializing in Advanced Practice Midwife. They hold the professional credentials CNM. They hold a License No. AP133198 (TX). The NPI Number for JACQUELINE WEBER (CNM) is 1689113060

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE WEBER (CNM)
NPI
1689113060
Phone
(903) 758-2610
Address
1107 E MARSHALL AVE
Enumeration Date
17 February 2017
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035446780
Graduation Year
2016 (10 years ago)
PAC ID
4880979590
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20170321000482
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for JACQUELINE WEBER (CNM)

  • 1107 E MARSHALL AVE

    LONGVIEW, TX 756015602

    Phone: (903) 758-2610

    Fax: (903) 758-7081

    Type: Mailing

  • 705 E MARSHALL AVE STE 3000

    LONGVIEW, TX 756015661

    Phone: (903) 758-2610

    Fax: (903) 758-7081

    Type: Location

  • 1107 E Marshall Ave

    Longview, TX 756015602

    Phone: (903) 758-2610

    Fax: (903) 758-7081

    Type: Location

  • 825 Medical Dr

    Tyler, TX 757012143

    Phone: (903) 533-0733

    Fax: (903) 939-0049

    Type: Location

  • 1761 W Loop 281

    Longview, TX 756042734

    Phone: (903) 758-2610

    Fax: (903) 758-7081

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752846098

    Phone: (903) 324-6400

    Type: Mailing

  • CHRISTUS Good Shepherd NorthPark Medical Plaza, 323, East Hawkins Parkway, Longview, Gregg County, Texas, 75605, United States

    LONGVIEW, TX 756058165

    Phone: (903) 315-5733

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $212.

Total Amount is formed as General ($212) + Research ($0) + Ownership ($0) = $212.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: SHIELD THERAPEUTICS INC ($102).

Total Amount

$212

General + Research + Ownership

Payments

8

Total payment records

General Amount

$212

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2017-03-21

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
I20170321000482ICertified Nurse Midwife (Cnm)TXTBD

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 75601)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

Does JACQUELINE WEBER (CNM) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JACQUELINE WEBER (CNM) uses 1689113060.
Does the file indicate JACQUELINE WEBER (CNM) is practicing under active NPI?
Directory data currently reports JACQUELINE WEBER (CNM) as active.
What is JACQUELINE WEBER (CNM)'s specialty?
The listing groups JACQUELINE WEBER (CNM) with Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
What address line appears for JACQUELINE WEBER (CNM)?
JACQUELINE WEBER (CNM)'s geographic hint is Longview, Texas in our summary view.
Why does JACQUELINE WEBER (CNM) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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