Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Thomas Weideman, PA-C

Individual provider Medical Physician Assistant · NPI 1013149079

Jeffrey Thomas Weideman, PA-C is a Physician Assistant in Saint Peter, Minnesota. Qualified in 2009, 17 years ago. Practices with Mankato Clinic Ltd, a 242-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1901 Old Minnesota Ave
Saint Peter, MN 56082-1763
Phone: (507) 934-2325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10628 (MN)

Record details

NPI number1013149079
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 10, 2009
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020
Mailing address1230 E Main St, Po Box 8674, Mankato, MN 56001-5066

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mankato Clinic Ltd — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare