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KELLY A. MARIS-WEISSBURG R.N.N.P.
NPI 1629092945
Nurse Practitioner in Oakland, CA

Active since July 27, 2006PECOS Enrolled
80 GRAND AVE STE 602, OAKLAND, CA 94612(510) 763-0884(510) 763-8753 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly A. Maris-weissburg R.n.n.p. NPPES

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

KELLY A. MARIS-WEISSBURG R.N.N.P. (NPI 1629092945) is an individual nurse practitioner in Oakland, California, licensed in California (296076) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629092945
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY A. MARIS-WEISSBURGCredential: R.N.N.P.
Location Address80 GRAND AVE STE 602Oakland, CA 94612-3744
Mailing Address775 Silver Oaks PlWalnut Creek, CA 94597-2682 · (925) 979-1297
Phone(510) 763-0884
Fax(510) 763-8753
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629092945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 296076
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.
80 GRAND AVE STE 602, Oakland, CA 94612
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly A. Maris-weissburg R.n.n.p. 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 94612 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Kelly Maris-weissburg's NPI number?

The NPI number for Kelly Maris-weissburg is 1629092945. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Kelly Maris-weissburg located?

Kelly Maris-weissburg practices at 80 Grand Ave Ste 602, Oakland, CA 94612. The listed phone number is (510) 763-0884.

What is Kelly Maris-weissburg's specialty?

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

Is Kelly Maris-weissburg enrolled in Medicare?

Yes. Kelly Maris-weissburg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Maris-weissburg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.