Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jeremy Weller, PA-C
Physician Assistant in Ithaca, NY · enumerated 2024.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1497571590
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Jeremy Weller
Credential PA-C
Sex Male
Practice address 953 Danby Rd, Ithaca, NY, 14850
Phone (607) 274-3011
Enumeration date Nov 23, 2024
Last updated in NPPES Apr 7, 2026
Taxonomy & licenses
390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 033860 (NY) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Jeremy Weller?
Jeremy Weller is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Jennifer Metzgar Family Nurse Practitioner · Ithaca, NY NPI 1992783153 Ithaca College Student Health Services Student Health Clinic/Center · Ithaca, NY NPI 1992855225 Courtney Gray Athletic Trainer · Ithaca, NY NPI 1457486813 David Newman Internal Medicine Physician · Ithaca, NY NPI 1437384484 Gerard Dunphy Physician Assistant · Ithaca, NY NPI 1659663730 Todd Lazenby Athletic Trainer · Ithaca, NY NPI 1386075687 Michael Matheny Athletic Trainer · Ithaca, NY NPI 1760803621 Jessica Anderson Athletic Trainer · Ithaca, NY NPI 1043736481
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-07.