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

Jennifer Weiss, PA-C

Individual provider Medical Physician Assistant · NPI 1811244007

Jennifer Weiss, PA-C is a Physician Assistant in Farmington, New Mexico. Graduated from Eastern Virginia Medical School in 2012, 14 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group and accepts Medicare assignment. Licensed in New Mexico and Virginia.

Years since qualifying
14
Trained at
Eastern Virginia Medical School
Licensed in
NM, VA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

630 W Maple St
Farmington, NM 87401-6113
Phone: (505) 609-6349
Fax: (505) 599-4679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2024-0065 (NM)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110003901 (VA)

Record details

NPI number1811244007
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 7, 2012
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2012 (14 years in practice)
Group practice Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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