1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Nurse Practitioner
  6. NPI Profile

THERESA A WEIDEMANN FNP-BC
NPI 1154986040
Nurse Practitioner - Pediatrics in Albuquerque, NM

Active since May 06, 2019PECOS EnrolledAccepts Medicare Assignment
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106(505) 272-3120(505) 272-8060 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2023, Aug 23, 2019, May 6, 2019 (3 updates tracked since 2019).

About Theresa A Weidemann Fnp-bc NPPES

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

THERESA A WEIDEMANN FNP-BC (NPI 1154986040) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (CNP-57254) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Lovelace Women's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154986040
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTHERESA A WEIDEMANNCredential: FNP-BC
Location Address933 BRADBURY DR SE STE 2222Albuquerque, NM 87106
Mailing Address933 Bradbury Dr Se Ste 2222Albuquerque, NM 87106-4375 · (505) 272-3120 · Fax (505) 272-8060
Phone(505) 272-3120
Fax(505) 272-8060
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 6, 2019
Last NPPES UpdateJuly 13, 20233 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1154986040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NM · CNP-57254
933 BRADBURY DR SE STE 2222, Albuquerque, NM 87106
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16027 Ursa Ave NWAlbuquerque, NM 87114-3510 · Phone (505) 280-6052
Location 2933 Bradbury Dr SE Ste 2222Albuquerque, NM 87106 · Phone (505) 272-3120 · Fax (505) 272-8060

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

Theresa A Weidemann Fnp-bc 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 ID4486086410
PECOS Enrollment IDI20191113002193
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.

Hospital Affiliations CMS Care Compare

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

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320017
Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

TRACI LEE SAILER FNP-BC
Nurse Practitioner (Family)
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
Bernalillo County (505) 256-3648
LISBETH GONZALEZ
Nurse's Aide
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-8060
KELLY D DILLON PHARM D
Pharmacist
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-3120
BRIANNA NEWBERRY
Counselor (Addiction (Substance Use Disorder))
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-5935
DR. MARC T MONTANARO MD
Internal Medicine
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-6225
DR. CASSIE SHAW MD
Hospitalist
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-3120
MS. PAMELA JANE BLAIR NP
Nurse Practitioner (Family)
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-3120
RAHUL SHEKHAR MD
Internal Medicine (Gastroenterology)
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
Bernalillo County (573) 815-8000

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 Theresa Weidemann's NPI number?

The NPI number for Theresa Weidemann is 1154986040. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Where is Theresa Weidemann located?

Theresa Weidemann practices at 933 Bradbury Dr SE Ste 2222, Albuquerque, NM 87106. The listed phone number is (505) 272-3120.

What is Theresa Weidemann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Theresa Weidemann enrolled in Medicare?

Yes. Theresa Weidemann is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Theresa Weidemann affiliated with any hospitals?

According to CMS data, Theresa Weidemann is affiliated with Lovelace Women's Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Weidemann was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.