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JACQUELINE DEBORAH WEIDAUER CNP-BC
NPI 1548737018
Nurse Practitioner in Sioux Falls, SD

Active since November 01, 2018PECOS Enrolled
1600 W 22ND ST, SIOUX FALLS, SD 57105(605) 312-1000 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2021, Nov 1, 2018 (2 updates tracked since 2018).

About Jacqueline Deborah Weidauer Cnp-bc NPPES

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

JACQUELINE DEBORAH WEIDAUER CNP-BC (NPI 1548737018) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP001487) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1548737018
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACQUELINE DEBORAH WEIDAUERCredential: CNP-BC
Location Address1600 W 22ND STSioux Falls, SD 57105-1521
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 312-1000
Sole ProprietorNo
Enumeration DateNovember 1, 2018
Last NPPES UpdateOctober 12, 20212 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
✔ NPI 1548737018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SD · CP001487
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License CP001487 (SD)
1600 W 22ND ST, Sioux Falls, SD 57105
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Secondary Practice Location 1

Location 11600 W 22nd StSioux Falls, SD 57105-1521 · Phone (605) 328-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Deborah Weidauer Cnp-bc 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 57105 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
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

JANELLE VANDE GRIEND APRN-CPNP
Nurse Practitioner
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
KAILEN K KRAUSE
Registered Nurse (Pediatrics)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
KAYELYN J. WAGNER M.D.
Pediatrics (Pediatric Hematology-Oncology)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
SYED HARIS ZAMIR KAZMI MD
Pediatrics
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
MRS. MORGAN DOLORES COLLINS RN, CDCES
Registered Nurse (Diabetes Educator)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
CHARLES A BROBERG DC, PA,
Physician Assistant
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
DR. VISHNU KANALA M.B.B.S.
Hospitalist
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
HEATHER A. JOHNSON CNP
Nurse Practitioner
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000

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 Jacqueline Weidauer's NPI number?

The NPI number for Jacqueline Weidauer is 1548737018. It was assigned to this individual provider in the NPPES registry on November 1, 2018.

Where is Jacqueline Weidauer located?

Jacqueline Weidauer practices at 1600 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 312-1000.

What is Jacqueline Weidauer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jacqueline Weidauer enrolled in Medicare?

Yes. Jacqueline Weidauer is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Weidauer accept?

Health plans from Medica and Sanford Health Plan list Jacqueline Weidauer 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Weidauer was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.