Theresa Weidemann, FNP-BC
NPI 1154986040 · Pediatric Nurse Practitioner · Albuquerque, NM
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1154986040
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- CNP-57254 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 6027 Ursa Ave NwAlbuquerque, NM 87114-3510Phone: (505) 280-6052
- 933 Bradbury Dr Se Ste 2222Albuquerque, NM 87106Phone: (505) 272-3120Fax: (505) 272-8060
Registry dates
- Enumerated
- 2019-05-06
- Last updated
- 2023-07-13
- Certified
- 2023-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.