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

Kaylae Wisner Weishaar, DO

Individual provider Family Medicine Physician · NPI 1629761770

Kaylae Wisner Weishaar, DO is a Family Practice in Tyler, Texas. Qualified in 2023, 3 years ago. Practices with Ess of Crockett, LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11937 US Highway 271
Tyler, TX 75708-3154
Phone: (903) 877-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence V9996 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence V9996 (TX)

Record details

NPI number1629761770
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 2, 2023
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address11937 Us Highway 271, Tyler, TX 75708-3154

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ess Of Crockett, Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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