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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497571590

Jeremy Weller, PA-C is a Physician Assistant in Ithaca, New York. Qualified in 2024, 2 years ago. Practices with United Health Services Hospitals, Inc, a 472-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
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

953 Danby Rd
Ithaca, NY 14850-7000
Phone: (607) 274-3011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 42 W Main St, Owego, NY 13827-1578 — (607) 687-0350

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 033860 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497571590
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 23, 2024
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice United Health Services Hospitals, Inc. — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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