ALI SUE HAINES WEISS (MD) – Family Medicine Physician, NPI 1821617416

ALI SUE HAINES WEISS (MD) is a healthcare provider. based in Lander, Wyoming. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 17285A (WY). The NPI Number for ALI SUE HAINES WEISS (MD) is 1821617416

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ALI SUE HAINES WEISS (MD)
NPI
1821617416
Phone
(307) 332-4420
Address
1320 BISHOP RANDALL DR
Enumeration Date
13 April 2020
Last Update Date
25 September 2024

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
3078573486
Graduation Year
2020 (6 years ago)
PAC ID
7113341744
Group Practice PAC ID
8426954496
Professional Enrollment ID
I20240913002873
Address ID
WY825012289RI1005XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

328 FAMILY PRACTICE in WY

Provider Addresses for ALI SUE HAINES WEISS (MD)

  • 1320 BISHOP RANDALL DR

    LANDER, WY 825203939

    Phone: (307) 332-4420

    Type: Location

  • 502 E MONROE ST

    RAPID CITY, SD 577011400

    Phone: (605) 755-4060

    Fax: (605) 755-4012

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2024-04-22 • Largest payer in this snapshot: Gilead Sciences, Inc. ($102).

Total Amount

$102

General + Research + Ownership

Payments

1

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$102
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: 2024-09-13

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
I20240913002873IFamily PracticeWYTBD

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 82520)

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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: 8426954496View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YNC
Family PracticeNV
Family PracticeWY
General SurgeryWY
O B S T E T R I C S/ G Y N E C O L O G YWY
-WY
General SurgeryMI
Internal Medicine, Sleep MedicineCA
-WY
-WY

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to ALI SUE HAINES WEISS (MD)?
The federal identifier for ALI SUE HAINES WEISS (MD) is NPI 1821617416.
Is ALI SUE HAINES WEISS (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ALI SUE HAINES WEISS (MD) work in?
You can think of ALI SUE HAINES WEISS (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for ALI SUE HAINES WEISS (MD)?
We surface Lander, Wyoming for ALI SUE HAINES WEISS (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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