MR. AUSTIN WEIDEMAN (PA) – Physician Assistant, NPI 1295296622
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
Provider Addresses for MR. AUSTIN WEIDEMAN (PA)
2923 E 29TH AVE
SPOKANE, WA 99223
Phone: (888) 227-3312
Fax: (509) 227-7070
Type: Location
3110, Espana Lane, Thousand Oaks, Ventura County, California, 91362, United States
THOUSAND OAKS, CA 913624935
Phone: (805) 807-5626
Type: Mailing
505 S 336th St Ste 500
Federal Way, WA 980038300
Phone: (805) 807-5626
Type: Location
15605 E Sprague Ave
Spokane Valley, WA 990378901
Phone: (509) 598-7820
Type: Location
Balboa Boulevard, Granada Hills, Los Angeles, Los Angeles County, California, 91344-7401, United States
GRANADA HILLS, CA 913446374
Phone: (818) 366-4626
Fax: (818) 366-4630
Type: Location
PO BOX 2928
PORTLAND, OR 972082928
Phone: (425) 207-5155
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: 2022-08-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220812000755 | I | Physician Assistant | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 66 | $0 |
| 87636 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b | 12 | 12 | $0 |
Insurance plans in this area (ZIP 99223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | OR | |
| Physician Assistant | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| - | MT | |
| Physician Assistant | WA |
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