Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Nicole Marie Weiss, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1215562509

Nicole Marie Weiss, PMHNP-BC is a Nurse Practitioner in Moscow, Idaho. Qualified in 2019, 7 years ago. Practices with Peterson Medical Clinics LLC, a 89-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in North Dakota and Washington.

Years since qualifying
7
Licensed in
ND, WA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

411 S Polk St
Moscow, ID 83843-3356
Phone: (208) 310-3261
Fax: (208) 742-3481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 Greg Kruschek Ave, Nome, ID 99762 — (208) 310-3261
  • 1610 Ne Eastgate Blvd Ste 610, Pullman, WA 99163-5609 — (509) 332-2236

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 202651 (ND)
Advanced Practice Midwife Taxonomy 367A00000X · Licence AP61045630 (WA)

Record details

NPI number1215562509
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedMarch 6, 2020
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 22, 2026

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 Peterson Medical Clinics Llc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations13 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Norton Sound Regional Hospital Hospital · Nome, AK

Colleagues at Peterson Medical Clinics LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 89 clinicians in the practice; 12 are shown here.

Other providers in Moscow