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

Theresa A Weidemann, FNP-BC

Individual provider Pediatric Nurse Practitioner · NPI 1154986040

Theresa A Weidemann, FNP-BC is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2019, 7 years ago. Practices with Southwest Gastroenterology Associates, a 27-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
7
Licensed in
NM
In the registry since
2019
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

933 Bradbury Dr SE Ste 2222
Albuquerque, NM 87106
Phone: (505) 272-3120
Fax: (505) 272-8060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106 — (505) 272-3120
  • 6027 Ursa Ave Nw, Albuquerque, NM 87114-3510 — (505) 280-6052

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence CNP-57254 (NM)

Record details

NPI number1154986040
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMay 6, 2019
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southwest Gastroenterology Associates — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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