MR. MICAH JAMES WELLER FNP
NPI 1629514153
Nurse Practitioner - Family in Pomona, CA
About Mr. Micah James Weller Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MICAH JAMES WELLER FNP (NPI 1629514153) is an individual family provider in Pomona, California, licensed in California (95005719) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Riverside.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Micah James Weller Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Micah Weller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norco, CA 92860
- Reassigned Medicare billing, California enrollment
- 27 clinicians in this Medicare group
- Reassigned Medicare billing, California enrollment
- 37 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91767 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
POMONA, CA 91767
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 Micah Weller's NPI number?
The NPI number for Micah Weller is 1629514153. It was assigned to this individual provider in the NPPES registry on January 8, 2017.
Where is Micah Weller located?
Micah Weller practices at 1880 N Orange Grove Ave, Pomona, CA 91767. The listed phone number is (909) 620-7200.
What is Micah Weller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Micah Weller enrolled in Medicare?
Yes. Micah Weller is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Micah Weller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Micah Weller reassigns Medicare benefits to 2 organizations: Southern California Emergency Medicine (Norco, CA) and Hospitalist Corporation Of Inland Empire (CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Micah Weller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Micah Weller was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Micah James Weller, FNP · NPI 1629514153
Family physician in Pomona, California. Individual provider, active in the CMS NPPES registry since January 8, 2017.
## Identity
- **NPI:** 1629514153 (Entity type: Individual)
- **Enumerated:** January 8, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95005719 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1880 N ORANGE GROVE AVE, Pomona, CA 91767-3006
- **Phone:** (909) 620-7200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Emergency Medicine (NPI 1255701249, Norco, CA); Hospitalist Corporation Of Inland Empire (CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1629514153) · Data from the CMS NPPES public registry.