Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LYDIA WEYENBERG MD
NPI 1407381650
Obstetrics & Gynecology in Bellevue, WA

Q: What is Lydia Weyenberg's NPI number?

The NPI number for Lydia Weyenberg is 1407381650. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Q: What is Lydia Weyenberg's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lydia Weyenberg was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 25, 2017PECOS Enrolled

1035 116TH AVE NE, BELLEVUE, WA 98004(425) 688-5000 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 19, 2026, May 7, 2024, Jan 10, 2023 and 4 more (7 updates tracked since 2017).

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About Lydia Weyenberg Md NPPES

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

LYDIA WEYENBERG MD (NPI 1407381650) is an individual obstetrics & gynecology provider in Bellevue, Washington, licensed in Arizona (68481) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1407381650

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameLYDIA WEYENBERGCredential: MD

Location Address1035 116TH AVE NEBellevue, WA 98004-4604

Mailing Address1035 116th Ave NeBellevue, WA 98004-4604

Phone(425) 688-5000

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2017

Enumeration DateApril 25, 2017

Last NPPES UpdateAugust 19, 20267 updates tracked since enumeration

NPPES CertifiedAugust 19, 2026

✔ NPI 1407381650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in AZ · 68481✔ Licensed in WA · MD61151043✔ Licensed in UT · 13305389-1205

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedHospitalistTaxonomy 208M00000X · License MD61151043 (WA)

1035 116TH AVE NE, Bellevue, WA 98004

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Secondary Practice Locations 6

Location 1344 W Dayton St, Apt. 1300Madison, WI 53703-4305 · Phone (920) 851-5781

Location 2400 S 43rd StRenton, WA 98055-5714 · Phone (206) 575-2598

Location 3320 S Kitsap BlvdPort Orchard, WA 98366-3778 · Phone (360) 377-3776

Location 41209 W Target Range RdNogales, AZ 85621-2466 · Phone (520) 287-4747 · Fax (520) 281-1112

Location 51580 W Antelope Dr Ste 290Layton, UT 84041-1179 · Phone (801) 776-0880 · Fax (801) 773-7399

Location 610400 Haligus RdHuntley, IL 60142-9553 · Phone (815) 356-2323 ext. 1180 · Fax (520) 281-1112

Other Identifiers 1

Other68481AZ · Arizona Medical Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.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

Lydia Weyenberg Md 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 ID4486048592

PECOS Enrollment IDI20250424002448

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.

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM

1/5 CMS rating

OwnershipProprietary

CMS Certification Number320018

Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

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.

KAY WIEBEN

Physical Therapist