ANISSA NICHOLE WEESE (MS, CCC-SLP) – Speech-Language Pathologist, NPI 1760500680

ANISSA NICHOLE WEESE (MS, CCC-SLP) is a healthcare provider. based in Abingdon, Virginia. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MS, CCC-SLP. They hold a License No. SLP-2466 (WV). The NPI Number for ANISSA NICHOLE WEESE (MS, CCC-SLP) is 1760500680

Main info

Female
24 Years Of Experience
Name
ANISSA NICHOLE WEESE (MS, CCC-SLP)
NPI
1760500680
Phone
(276) 492-2069
Address
851 FRENCH MOORE JR BLVD
Enumeration Date
27 March 2007
Last Update Date
3 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
3173527736
Professional Enrollment ID
I20260220001248
Address ID
WV262068617CO84XXXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

244 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in VA

Provider Addresses for ANISSA NICHOLE WEESE (MS, CCC-SLP)

  • 851 FRENCH MOORE JR BLVD

    SUITE 193

    ABINGDON, VA 242104738

    Phone: (276) 492-2069

    Fax: (865) 381-1275

    Type: Mailing

  • 84 BLACK OAK DRIVE

    COWEN, WV 26206

    Phone: (276) 608-1693

    Fax: (865) 381-1275

    Type: Mailing

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: 2026-02-20

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
I20260220001248IQualified Speech Language PathologistWVTBD

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 24210)

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Reviews

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Frequently asked questions

Where can patients find ANISSA NICHOLE WEESE (MS, CCC-SLP)'s NPI?
You can confirm ANISSA NICHOLE WEESE (MS, CCC-SLP) with NPI 1760500680; it appears in the national provider directory.
Is ANISSA NICHOLE WEESE (MS, CCC-SLP) active in the national directory?
ANISSA NICHOLE WEESE (MS, CCC-SLP)'s public NPI profile is in an active state.
What kind of provider is ANISSA NICHOLE WEESE (MS, CCC-SLP)?
The page reflects Speech-Language Pathologist for ANISSA NICHOLE WEESE (MS, CCC-SLP). Clinical services aligned with this taxonomy classification.
What location shows for ANISSA NICHOLE WEESE (MS, CCC-SLP)?
We surface Abingdon, Virginia for ANISSA NICHOLE WEESE (MS, CCC-SLP) based on available NPPES addresses.
Is ANISSA NICHOLE WEESE (MS, CCC-SLP) a real provider?
This page reflects official NPPES data for NPI 1760500680. Always confirm identity and privileges with the practice and licensing boards.

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