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MRS. ALYSSA NICOLE WEISEMAN NP, RD
NPI 1629761986
Nurse Practitioner - Family in Fort Wayne, IN

Active since June 01, 2023PECOS EnrolledAccepts Medicare Assignment
7964 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 436-5670(260) 436-4706 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Alyssa Nicole Weiseman Np, Rd NPPES

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

MRS. ALYSSA NICOLE WEISEMAN NP, RD (NPI 1629761986) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (2023005980) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629761986
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ALYSSA NICOLE WEISEMANCredential: NP, RD
Location Address7964 W JEFFERSON BLVDFort Wayne, IN 46804-4140
Mailing Address7964 W Jefferson BlvdFort Wayne, IN 46804-4140 · (260) 436-5670
Phone(260) 436-5670
Fax(260) 436-4706
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 1, 2023
NPPES CertifiedMay 30, 2023
✔ NPI 1629761986 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 IN · 2023005980
7964 W JEFFERSON BLVD, Fort Wayne, IN 46804
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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 and accepts Medicare assignment

Mrs. Alyssa Nicole Weiseman Np, Rd 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 ID8921532516
PECOS Enrollment IDI20241105001171
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 46804 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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

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

RACHEL GILSON FNP-C
Nurse Practitioner
7964 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-5670

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 Alyssa Weiseman's NPI number?

The NPI number for Alyssa Weiseman is 1629761986. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Alyssa Weiseman located?

Alyssa Weiseman practices at 7964 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 436-5670.

What is Alyssa Weiseman's specialty?

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

Is Alyssa Weiseman enrolled in Medicare?

Yes. Alyssa Weiseman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alyssa Weiseman was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.