1. Home
  2. Directory
  3. South Dakota
  4. Rapid City
  5. Physician Assistant
  6. NPI Profile

JENNA ANNE WEIDENBACH
NPI 1356045389
Physician Assistant in Rapid City, SD

Active since March 27, 2023PECOS Enrolled
353 FAIRMONT BLVD, RAPID CITY, SD 57701(605) 755-8222 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2025, Mar 27, 2023 (2 updates tracked since 2023).

About Jenna Anne Weidenbach NPPES

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

JENNA ANNE WEIDENBACH (NPI 1356045389) is an individual physician assistant in Rapid City, South Dakota and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356045389
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNA ANNE WEIDENBACH
Location Address353 FAIRMONT BLVDRapid City, SD 57701-7375
Mailing Address20170 Wagon Box RdWhitewood, SD 57793-6436 · (605) 484-4634
Phone(605) 755-8222
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateApril 2, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1356045389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
353 FAIRMONT BLVD, Rapid City, SD 57701
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Anne Weidenbach 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 57701 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
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.

MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 719-1000
CLIFF JANIKOWSKI
Internal Medicine (Pulmonary Disease)
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-1000
MARIA SARGENT CNP
Nurse Practitioner
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-1000
ABIGAIL RENN RD LN
Dietitian, Registered
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-4755
EMMA KOETTER
Physician Assistant
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (513) 575-6547
ALYSSA BRYANT
Pharmacist
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 690-3996
JARRETT JAMES FOWLER PA
Physician Assistant
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-1000
DR. KYLE W GIFFORD MD
Internal Medicine
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-1000

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 Jenna Weidenbach's NPI number?

The NPI number for Jenna Weidenbach is 1356045389. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Jenna Weidenbach located?

Jenna Weidenbach practices at 353 Fairmont Blvd, Rapid City, SD 57701. The listed phone number is (605) 755-8222.

What is Jenna Weidenbach's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jenna Weidenbach enrolled in Medicare?

Yes. Jenna Weidenbach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenna Weidenbach was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.