BETH ANN WEIDNER (APRN) – Nurse Practitioner, NPI 1265628606
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BETH ANN WEIDNER (APRN)
McIntyre Street, Golden, Jefferson County, Colorado, 80401-4015, United States
GOLDEN, CO 804037445
Phone: (303) 949-1250
Type: Location
275 N El Cielo Rd
Palm Springs, CA 922626972
Phone: (512) 689-8088
Type: Location
52775 Avenida Ramirez
LA Quinta, CA 922535300
Phone: (512) 689-8088
Type: Location
52775, Avenida Ramirez, La Quinta, Riverside County, California, 92253, United States
LA QUINTA, CA 922535300
Phone: (512) 689-8088
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: 2019-05-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20120716000535 | I | Nurse Practitioner | CO | TBD |
| I20190528000773 | I | Nurse Practitioner | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80403)
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