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

Q: 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.

Q: What is Kristine Weidner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristine Weidner was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 19, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.