BRIANA R WEIDLER-EDHOLM NP
NPI 1144882069
Nurse Practitioner in South Bend, IN

Active since July 01, 2019PECOS EnrolledAccepts Medicare Assignment
17501 GENERATIONS DR, SOUTH BEND, IN 46635(574) 234-0049(574) 251-2871 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Briana R Weidler-edholm Np NPPES

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

BRIANA R WEIDLER-EDHOLM NP (NPI 1144882069) is an individual nurse practitioner in South Bend, Indiana, licensed in Indiana (28226873A) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1144882069
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBRIANA R WEIDLER-EDHOLMCredential: NP
Location Address17501 GENERATIONS DRSouth Bend, IN 46635-1589
Mailing Address17501 Generations DrSouth Bend, IN 46635-1589 · (574) 234-0049 · Fax (574) 512-2871
Fax(574) 251-2871
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 1, 2019
Last NPPES UpdateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
NPI 1144882069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 28226873A
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

17501 GENERATIONS DR, South Bend, IN 46635

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Briana R Weidler-edholm Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032448808
PECOS Enrollment IDI20190904003243
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
747 services429 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
352 services189 patients
Magnesium level 83735
A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.
294 services187 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
249 services150 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
126 services97 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
44 services31 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150076
Location1915 Lake AvePlymouth, IN 46563 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46635 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 11

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

Internal Medicine (Gastroenterology)
17501 GENERATIONS DR
SOUTH BEND, IN 46635
Internal Medicine (Gastroenterology)
17501 GENERATIONS DR
SOUTH BEND, IN 46635
Internal Medicine (Gastroenterology)
17501 GENERATIONS DR
SOUTH BEND, IN 46635
Internal Medicine (Gastroenterology)
17501 GENERATIONS DR
SOUTH BEND, IN 46635
Internal Medicine
17501 GENERATIONS DR
SOUTH BEND, IN 46635
Nurse Anesthetist, Certified Registered
17501 GENERATIONS DR
SOUTH BEND, IN 46635
Internal Medicine (Gastroenterology)
17501 GENERATIONS DR
SOUTH BEND, IN 46635
Internal Medicine (Gastroenterology)
17501 GENERATIONS DR
SOUTH BEND, IN 46635

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144882069, enumerated as an "individual" on July 01, 2019.

The provider is located at 17501 GENERATIONS DR SOUTH BEND, IN 46635 and the phone number is (574) 234-0049.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.

Briana Weidler-edholm is affiliated with: SAINT JOSEPH REGIONAL MEDICAL CENTER, ELKHART GENERAL HOSPITAL, MEMORIAL HOSPITAL OF SOUTH BEND and SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH.