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

Mary K Weisberg, PA-C

Individual provider Physician Assistant · NPI 1316629355

Mary K Weisberg, PA-C is a Physician Assistant in Fargo, North Dakota. Qualified in 2023, 3 years ago. Practices with Innovis Health LLC, a 573-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
3
Licensed in
ND
In the registry since
2023
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

1702 University Dr S
Fargo, ND 58103-4940
Phone: (701) 364-8000
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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 PAC1015 (ND)

Record details

NPI number1316629355
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 1, 2023
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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