MRS. LAURA JAY WEATHERMAN (PA-C, MPAS) – Medical Physician Assistant, NPI 1790751196

MRS. LAURA JAY WEATHERMAN (PA-C, MPAS) is a healthcare provider. based in Lamesa, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, MPAS. They hold a License No. PA-C, MPAS (TX). The NPI Number for MRS. LAURA JAY WEATHERMAN (PA-C, MPAS) is 1790751196

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LAURA JAY WEATHERMAN (PA-C, MPAS)
NPI
1790751196
Phone
(806) 872-7291
Address
2200 N BRYAN AVE
Enumeration Date
24 February 2006
Last Update Date
13 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8068727291
Graduation Year
2004 (22 years ago)
PAC ID
3577527498
Group Practice PAC ID
6800832155
Professional Enrollment ID
I20041118001237
Address ID
TX793312451LA2202XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for MRS. LAURA JAY WEATHERMAN (PA-C, MPAS)

  • Medical Arts Hospital, 2200, North Bryan Avenue, Lamesa, Dawson County, Texas, 79331, United States

    2202 N BRYAN AVE

    LAMESA, TX 793312451

    Phone: (806) 872-7291

    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)

CMS reports 17 Open Payments records for all available years, with a total value of $256.

Total Amount is formed as General ($256) + Research ($0) + Ownership ($0) = $256.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($168).

Total Amount

$256

General + Research + Ownership

Payments

17

Total payment records

General Amount

$256

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

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: 2004-11-18

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
I20041118001237IPhysician AssistantTXTBD

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 79331)

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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: 6800832155View full group profile
NameSpecialtyState
Diagnostic RadiologyVA
Family PracticeTX
Diagnostic RadiologyTX
Diagnostic RadiologyOR
Diagnostic RadiologyOR
Interventional Radiology, Diagnostic RadiologyTX
Family Practice, Emergency MedicineTX
Diagnostic RadiologyTX
Family Practice, Osteopathic Manipulative MedicineTX
Emergency MedicineLA

Reviews

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Frequently asked questions

What is MRS. LAURA JAY WEATHERMAN (PA-C, MPAS)'s NPI number?
MRS. LAURA JAY WEATHERMAN (PA-C, MPAS)'s NPI is 1790751196 — the number used across U.S. healthcare to identify this provider.
Is MRS. LAURA JAY WEATHERMAN (PA-C, MPAS) shown as active in public data?
Registry records indicate MRS. LAURA JAY WEATHERMAN (PA-C, MPAS) maintains an active NPI.
What kind of doctor is MRS. LAURA JAY WEATHERMAN (PA-C, MPAS)?
MRS. LAURA JAY WEATHERMAN (PA-C, MPAS) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is MRS. LAURA JAY WEATHERMAN (PA-C, MPAS) registered?
Use Lamesa, Texas as the headline location for MRS. LAURA JAY WEATHERMAN (PA-C, MPAS) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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