1. Home
  2. Directory
  3. Texas
  4. Rockwall
  5. Nurse Practitioner
  6. NPI Profile

AUTUMN WEIDENBACH APRN
NPI 1821823956
Nurse Practitioner - Family in Rockwall, TX

Active since September 06, 2024PECOS EnrolledAccepts Medicare Assignment
990 WILLIAMS ST STE A, ROCKWALL, TX 75087(972) 772-8194(972) 772-8175 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2026, Sep 6, 2024 (2 updates tracked since 2024).

About Autumn Weidenbach Aprn NPPES

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

AUTUMN WEIDENBACH APRN (NPI 1821823956) is an individual family provider in Rockwall, Texas, licensed in Texas (1170316) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1821823956
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAUTUMN WEIDENBACHCredential: APRN
Location Address990 WILLIAMS ST STE ARockwall, TX 75087-2638
Mailing Address1710 Plummer DrRockwall, TX 75087-2321 · (972) 849-5026
Phone(972) 772-8194
Fax(972) 772-8175
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 6, 2024
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1821823956 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 TX · 1170316
990 WILLIAMS ST STE A, Rockwall, TX 75087
Open in Google Maps ↗

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

Autumn Weidenbach Aprn 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 ID1850813056
PECOS Enrollment IDI20250318000292
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 75087 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 3

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

ROCKWALL COUNTY HELPING HANDS INC.
Family Medicine
990 WILLIAMS ST STE A
ROCKWALL, TX 75087
Rockwall County (972) 772-8194
LUAM MEKONNEN TEKLE RN, FNP-C
Nurse Practitioner (Family)
990 WILLIAMS ST STE A
ROCKWALL, TX 75087
Rockwall County (972) 722-8194
CHERYL MALDANIS FNP
Nurse Practitioner (Family)
990 WILLIAMS ST STE A
ROCKWALL, TX 75087
Rockwall County (972) 772-8194

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 Autumn Weidenbach's NPI number?

The NPI number for Autumn Weidenbach is 1821823956. It was assigned to this individual provider in the NPPES registry on September 6, 2024.

Where is Autumn Weidenbach located?

Autumn Weidenbach practices at 990 Williams St Ste A, Rockwall, TX 75087. The listed phone number is (972) 772-8194.

What is Autumn Weidenbach's specialty?

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

Is Autumn Weidenbach enrolled in Medicare?

Yes. Autumn Weidenbach 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 Autumn Weidenbach was last updated on January 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.