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KRISTINE NOEL WEIDNER M.D.
NPI 1063551778
Emergency Medicine in Chicago, IL

Active since February 06, 2007PECOS Enrolled
2875 W 19TH ST, CHICAGO, IL 60623(773) 484-4831(773) 484-4829 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kristine Noel Weidner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINE NOEL WEIDNER M.D. (NPI 1063551778) is an individual emergency medicine provider in Chicago, Illinois and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063551778
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKRISTINE NOEL WEIDNERCredential: M.D.
Location Address2875 W 19TH STChicago, IL 60623-3501
Mailing Address4828 N Rockwell St, Apt 3Chicago, IL 60625-2816 · (773) 396-2631
Phone(773) 484-4831
Fax(773) 484-4829
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1063551778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2875 W 19TH ST, Chicago, IL 60623
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristine Noel Weidner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kristine Weidner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwest Acute Care Specialists PC
1,754 mi
Emergency Medicine
2211 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington and Oregon enrollments
  • Also billed through NPI 1215983200 (Oregon)
  • 108 clinicians in this Medicare group
NPI 1487811048 (503) 464-9034

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATHOLOGY SERVICES ILLINOIS, LTD
Pathology (Anatomic Pathology & Clinical Pathology)
2875 W 19TH ST
CHICAGO, IL 60623
Cook County (773) 484-1000
DR. ZAHID ALEEM HASAN MD
Pediatrics
2875 W 19TH ST, 3RD FLOOR, PEDIATRICS
CHICAGO, IL 60623
Cook County (773) 484-4065
CHRISTINE LEUNG OTR/L
Occupational Therapist
2875 W 19TH ST
CHICAGO, IL 60623
Cook County (773) 484-1854
GIOVANNA ELENA SAVASTANO OTR/L
Occupational Therapist
2875 W 19TH ST
CHICAGO, IL 60623
Cook County (773) 484-1000
JAYME LEA HENDERSON DNP, APRN, CNM
Advanced Practice Midwife
2875 W 19TH ST
CHICAGO, IL 60623
Cook County (773) 484-4030
EUGENIO SALAZAR MD
Obstetrics & Gynecology
2875 W 19TH ST
CHICAGO, IL 60623
Cook County (773) 484-1000
RITA C TALLUD MD
General Practice
2875 W 19TH ST
CHICAGO, IL 60623
Cook County (773) 484-1000
CARMELA LAGAMBINA-LOCKWITZ
Speech-Language Pathologist
2875 W 19TH ST
CHICAGO, IL 60623
Cook County (773) 484-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine Weidner's NPI number?

The NPI number for Kristine Weidner is 1063551778. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Kristine Weidner located?

Kristine Weidner practices at 2875 W 19th St, Chicago, IL 60623. The listed phone number is (773) 484-4831.

What is Kristine Weidner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kristine Weidner enrolled in Medicare?

Yes. Kristine Weidner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristine Weidner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Weidner reassigns Medicare benefits to Northwest Acute Care Specialists PC (Vancouver, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristine Weidner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristine Weidner was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.