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

Nicole Weist

Individual provider General Practice Physician · NPI 1417419797

Nicole Weist is a Physician Assistant in Burlington Township, New Jersey. Qualified in 2019, 7 years ago. Practices with Advocare, LLC, a 385-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2019
Specialties on file
2

Practice location Address checks out

911 Sunset Rd
Burlington Township, NJ 08016-2250
Phone: (609) 387-8787
Fax: (609) 386-8640
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00513000 (NJ)
General Practice Physician Taxonomy 208D00000X · Licence 25MP00513000 (NJ)

Record details

NPI number1417419797
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 4, 2019
Last updated in NPPESJuly 6, 2025
Certification dateJuly 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Advocare, Llc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare