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LUKE WEAVER DO
NPI 1144008962
Student in an Organized Health Care Education/Training Program in La Crosse, WI

Active since September 21, 2023PECOS Enrolled
1836 SOUTH AVE, LA CROSSE, WI 54601(608) 775-6600 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luke Weaver Do NPPES

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

LUKE WEAVER DO (NPI 1144008962) is an individual student in an organized health care education/training program in La Crosse, Wisconsin and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144008962
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUKE WEAVERCredential: DO
Location Address1836 SOUTH AVELa Crosse, WI 54601-5429
Mailing Address2114 Sims PlLa Crosse, WI 54601-6266 · (913) 206-9485
Phone(608) 775-6600
Sole ProprietorNo
Enumeration DateSeptember 21, 2023
Last NPPES UpdateDecember 30, 2025
NPPES CertifiedDecember 30, 2025
✔ NPI 1144008962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
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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)

Luke Weaver Do 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.

JEFFREY BRIAN TROHKIMOINEN M.D.
Anesthesiology
1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601
La Crosse County (608) 775-2031
JESSICA E THESING CRNA
Nurse Anesthetist, Certified Registered
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
DR. MICHAEL DAVID SMITH PSY.D.
Psychologist
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JESSICA MAE RASMUSSEN
Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JULIE SONSALLA APNP
Nurse Practitioner (Adult Health)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
LAURA KLINGBEIL
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
SUSAN CAROL SORRENTINO RN
Registered Nurse (Addiction (Substance Use Disorder))
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
NAOMI MUTHONI RUIRU APNP
Nurse Practitioner (Family)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300

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 Luke Weaver's NPI number?

The NPI number for Luke Weaver is 1144008962. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Where is Luke Weaver located?

Luke Weaver practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 775-6600.

What is Luke 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 Luke Weaver enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Luke Weaver was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.