Active NPI
Holly Marie Weaver, A-GNP-C
- Nurse Practitioner
- Marshall, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704243878
- Practice address
- 215 E Mansion St Ste 3a
Marshall, MI 49068-1559 - Phone
- (269) 789-0025
- NPI assigned
- Aug 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704243878 | MI | Primary |
Addresses
Primary practice location
215 E Mansion St Ste 3a
Marshall, MI 49068-1559
Mailing address
215 E Mansion St Ste 3a
Marshall, MI 49068-1559
Phone (269) 789-0025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271
215 E Mansion St
Marshall, MI 49068-1559
Hospital & facility affiliations
- Oaklawn Hospital
- Insight Hospital and Medical Center Coldwater
- Bronson Battle Creek Hospital
- Bronson Methodist Hospital
- Borgess Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.06 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ella E M Brown Charitable Circle | Current | Accepting new patients | |
| Opus Medicine, PC | Current | Accepting new patients | |
| Theoria Medical | Nurse Practitioner | Current | Accepting new patients |
| Ella E M Brown Charitable Circle | Nurse Practitioner | Current | Accepting new patients |
| Wattles Park Family Practice PC | Past | Accepting new patients | |
| Ella E M Brown Charitable Circle | Past | Accepting new patients |
Locations
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
3601 S 9th St
Kalamazoo, MI 49009
Phone (269) 372-4700
215 E Mansion St
Ste 3A
Marshall, MI 49068
Phone (269) 781-2658
200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921
215 E Mansion St
Ste 2A
Marshall, MI 49068
Phone (269) 558-0710
Interoperability endpoints
- hweaver882733@direct.hfhs.org
- holly.weaver.1@9698.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Marshall, MI
- NPI 1366591794
-
- Diagnostic Radiology Physician
- Marshall, MI
- NPI 1043660467
Nurse Practitioner
-
- Specialist
- Kalamazoo, MI
- NPI 1013286228
-
- Certified Registered Nurse Anesthetist
- Marshall, MI
- NPI 1174672521
-
- Family Medicine Physician
- Battle Creek, MI
- NPI 1659512705
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- General Acute Care Hospital
- Battle Creek, MI
- NPI 1083644579
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
- General Acute Care Hospital
- Coldwater, MI
- NPI 1063471639
-
- General Acute Care Hospital
- Marshall, MI
- NPI 1861475360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1013460567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E MANSION ST STE 3A",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490681559",
"telephone_number": "269-789-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E MANSION ST STE 3A",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490681559",
"telephone_number": "269-789-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "HOLLY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "A-GNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-02",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704243878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.