JUSTIN WEILERT NP
NPI 1922625383
Nurse Practitioner - Family in Ithaca, NY

Q: What is Justin Weilert's NPI number?

The NPI number for Justin Weilert is 1922625383. It was assigned to this individual provider in the NPPES registry on July 1, 2020.

Q: What is Justin Weilert'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 Justin Weilert was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 July 01, 2020PECOS Enrolled

904 E SHORE DR, ITHACA, NY 14850(607) 257-6563 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2022, Jul 1, 2020 (2 updates tracked since 2020).

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About Justin Weilert Np NPPES

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

JUSTIN WEILERT NP (NPI 1922625383) is an individual family provider in Ithaca, New York, licensed in New York (350195) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922625383

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJUSTIN WEILERTCredential: NP

Location Address904 E SHORE DRIthaca, NY 14850-1026

Mailing Address904 E Shore DrIthaca, NY 14850-1026 · (607) 257-6563

Phone(607) 257-6563

Sole ProprietorNo

Enumeration DateJuly 1, 2020

Last NPPES UpdateJune 15, 20262 updates tracked since enumeration

NPPES CertifiedJune 15, 2026

✔ NPI 1922625383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in NY · 350195

Also ListedRegistered NurseTaxonomy 163W00000X · License 750339 (NY)

904 E SHORE DR, Ithaca, NY 14850

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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)

Justin Weilert Np 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 14850 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 6

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

ASTHMA & ALLERGY ASSOCIATES P.C.

Allergy & Immunology (Allergy)