JENNIFER ANDREA WEATHERLY D.O.
NPI 1548279375
Family Medicine in Corpus Christi, TX

Q: What is Jennifer Weatherly's NPI number?

The NPI number for Jennifer Weatherly is 1548279375. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is Jennifer Weatherly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment

4254 S ALAMEDA ST, CORPUS CHRISTI, TX 78412(361) 853-4191(361) 853-8768 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 27, 2026, Oct 12, 2019 (2 updates tracked since 2019).

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About Jennifer Andrea Weatherly D.o. NPPES

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

JENNIFER ANDREA WEATHERLY D.O. (NPI 1548279375) is an individual family medicine provider in Corpus Christi, Texas, licensed in Texas (L3871) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Corpus Christi, and is a graduate of University Of Texas Medical School At Houston (1998).

NPPES Registry Identity

NPI1548279375

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJENNIFER ANDREA WEATHERLYCredential: D.O.

Location Address4254 S ALAMEDA STCorpus Christi, TX 78412-2469

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 533-6836 · Fax (407) 770-0661

Phone(361) 853-4191

Fax(361) 853-8768

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1998

Enumeration DateAugust 8, 2006

Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration

NPPES CertifiedMarch 27, 2026

✔ NPI 1548279375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · L3871

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4254 S ALAMEDA ST, Corpus Christi, TX 78412

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Secondary Practice Location 1

Location 1917 S Port AveCorpus Christi, TX 78405-2301 · Phone (361) 887-0584 · Fax (361) 887-0586

Other Identifiers 1

Medicaid395294701TX

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

Jennifer Andrea Weatherly D.o. 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 ID7214923176

PECOS Enrollment IDI20040424000254

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 78412 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 15

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

MRS. MONICA ISABEL OLAGUE FNP-C

Nurse Practitioner (Family)