MR. MICAH JAMES WELLER FNP
NPI 1629514153
Nurse Practitioner - Family in Pomona, CA

Q: 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.

Q: What is Micah Weller's specialty?

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

Q: 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.

Active since January 08, 2017PECOS Enrolled

1880 N ORANGE GROVE AVE, POMONA, CA 91767(909) 620-7200 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2020, Apr 19, 2018, Jan 8, 2017 (3 updates tracked since 2017).

On this page

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

NPI1629514153

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMR. MICAH JAMES WELLERCredential: FNP

Location Address1880 N ORANGE GROVE AVEPomona, CA 91767-3006

Mailing Address840 Towne Center DrPomona, CA 91767-5900 · (909) 398-1550

Phone(909) 620-7200

Sole ProprietorNo

Enumeration DateJanuary 8, 2017

Last NPPES UpdateFebruary 12, 20203 updates tracked since enumeration

✔ NPI 1629514153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95005719

1880 N ORANGE GROVE AVE, Pomona, CA 91767

Open in Google Maps ↗

Secondary Practice Location 1

Location 15549 Van Buren BlvdRiverside, CA 92503-2068 · Phone (951) 324-5901

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Micah James Weller Fnp 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 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.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

PATRICK ALONZO

Nurse Practitioner