Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JOSHUA DOUGLAS WEAVER
NPI 1093607871
Student in an Organized Health Care Education/Training Program in La Crosse, WI

Active since July 16, 2025PECOS Enrolled
1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joshua Douglas Weaver NPPES

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

JOSHUA DOUGLAS WEAVER (NPI 1093607871) is an individual student in an organized health care education/training program in La Crosse, Wisconsin and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1093607871
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSHUA DOUGLAS WEAVER
Location Address1836 SOUTH AVELa Crosse, WI 54601-5429
Mailing Address3009 North Ct Apt 107Onalaska, WI 54650-6205 · (608) 482-4684
Sole ProprietorNo
Enumeration DateJuly 16, 2025
Last NPPES UpdateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
NPI 1093607871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1836 SOUTH AVE, La Crosse, WI 54601

Secondary Practice Location 1

Location 1750 Highland AveMadison, WI 53705-2221 · Phone (608) 263-4900

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Joshua Douglas Weaver 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.

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.

Anesthesiology
1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601
Nurse Anesthetist, Certified Registered
1836 SOUTH AVE
LA CROSSE, WI 54601
Psychologist
1836 SOUTH AVE
LA CROSSE, WI 54601
Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
Nurse Practitioner (Adult Health)
1836 SOUTH AVE
LA CROSSE, WI 54601
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
Registered Nurse (Addiction (Substance Use Disorder))
1836 SOUTH AVE
LA CROSSE, WI 54601
Nurse Practitioner (Family)
1836 SOUTH AVE
LA CROSSE, WI 54601

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 Joshua Weaver's NPI number?

The NPI number for Joshua Weaver is 1093607871. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Joshua Weaver located?

Joshua Weaver practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.

What is Joshua Weaver's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joshua Weaver enrolled in Medicare?

Yes. Joshua Weaver is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joshua Weaver was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.