Individual provider Active NPI

Heather Weber, NP

  • Nurse Practitioner
  • Peru, IN
National Provider Identifier
1013094994
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71000775 Issued in IN
Practice address
315 W Old Key Dr
Peru, IN 46970-9057
Phone
(765) 475-6963
Fax
(765) 475-2833
NPI assigned
Oct 31, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71000775 IN Primary

Addresses

Primary practice location

315 W Old Key Dr
Peru, IN 46970-9057

Mailing address

315 W Old Key Dr
Peru, IN 46970-9057
Phone (765) 475-6963

Other identifiers 1

IdentifierTypeStateIssuer
200375910MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather.webernp.p11@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429000809 IN Practitioner - Nurse Practitioner 5698762763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10995 Allisonville Rd
Suite 100
Fishers, IN 46038-2616
Phone (317) 842-7928

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71000775INMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana LLC CurrentSince May 1, 2010 Accepting new patients
American Health Network of Indiana, LLC Nurse Practitioner CurrentSince May 1, 2010 Accepting new patients
American Health Network of Indiana, LLC Past Accepting new patients

Locations

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

2330 S Dixon Rd
Kokomo, IN 46902
Phone (765) 455-5400

1445 W Hoosier Blvd
Peru, IN 46970
Phone (765) 689-0071

3309 S 750 W
Russiaville, IN 46979
Phone (765) 461-7174

Interoperability endpoints

  • Direct secure messaging: heather.webernp.p11@direct.ahni.nextgenshare.com
  • Direct secure messaging: hweber211000@direct.optum.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1013094994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W OLD KEY DR",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469709057",
            "telephone_number": "765-475-6963",
            "fax_number": "765-475-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W OLD KEY DR",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469709057",
            "telephone_number": "765-475-6963",
            "fax_number": "765-475-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "HEATHER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200375910",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.webernp.p11@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "315 W Old Key Dr",
            "city": "Peru",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469709057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peru, IN

Sources for this page

Verify at the official NPI Registry.