TY C WEBER FNP-C
NPI 1457865388
Nurse Practitioner - Family in Emmett, ID

Active since November 30, 2017PECOS EnrolledAccepts Medicare Assignment
1102 E LOCUST ST, EMMETT, ID 83617(208) 365-6004 Get Directions Write a Review

NPPES record last updated: December 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2025, Oct 2, 2018, Nov 30, 2017 (3 updates tracked since 2017).

About Ty C Weber Fnp-c NPPES

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

TY C WEBER FNP-C (NPI 1457865388) is an individual family provider in Emmett, Idaho, licensed in Oregon (201808187NP-PP) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Aumsville.

NPPES Registry Identity

NPI1457865388
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTY C WEBERCredential: FNP-C
Location Address1102 E LOCUST STEmmett, ID 83617-2713
Mailing Address1102 E Locust StEmmett, ID 83617-2713
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 30, 2017
Last NPPES UpdateDecember 13, 20253 updates tracked since enumeration
NPPES CertifiedDecember 13, 2025
NPI 1457865388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 201808187NP-PP
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5671037 (ID)
1102 E LOCUST ST, Emmett, ID 83617

Secondary Practice Location 1

Location 1205 Main StAumsville, OR 97325-9018 · Phone (503) 749-4734

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

Ty C Weber Fnp-c 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 ID6507101896
PECOS Enrollment IDI20181213003047, I20250212002865
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 3

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Valor Health

Critical Access Hospitals · Emmett, ID
OwnershipGovernment - Local
CMS Certification Number131318
Location1202 East Locust StreetEmmett, ID 83617 · Gem County
Emergency services

Santiam Hospital

Acute Care Hospitals · Stayton, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380056
Location1401 N 10th AvenueStayton, OR 97383 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83617 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 8

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

Family Medicine
1102 E LOCUST ST
EMMETT, ID 83617
Physician Assistant
1102 E LOCUST ST
EMMETT, ID 83617
Family Medicine
1102 E LOCUST ST
EMMETT, ID 83617
Physician Assistant (Medical)
1102 E LOCUST ST
EMMETT, ID 83617
Physician Assistant (Medical)
1102 E LOCUST ST
EMMETT, ID 83617
Family Medicine
1102 E LOCUST ST
EMMETT, ID 83617
Clinic/Center (Rural Health)
1102 E LOCUST ST
EMMETT, ID 83617
Family Medicine
1102 E LOCUST ST
EMMETT, ID 83617

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 Ty Weber's NPI number?

The NPI number for Ty Weber is 1457865388. It was assigned to this individual provider in the NPPES registry on November 30, 2017.

Where is Ty Weber located?

Ty Weber practices at 1102 E Locust St, Emmett, ID 83617. The listed phone number is (208) 365-6004.

What is Ty Weber's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ty Weber enrolled in Medicare?

Yes. Ty Weber 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.

What insurance does Ty Weber accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Ty Weber as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ty Weber affiliated with any hospitals?

According to CMS data, Ty Weber is affiliated with St Luke's Regional Medical Center, Valor Health and Santiam Hospital.

When was this NPI record last updated?

The NPPES record for Ty Weber was last updated on December 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.