Active NPI
Dana Catherine Weaver
- Psychiatric/Mental Health Nurse Practitioner
- Seymour, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71011851A
- Practice address
- 120 Saint Louis Ave
Seymour, IN 47274-2304 - Phone
- (812) 405-1857
- Fax
- (812) 954-5022
- NPI assigned
- Oct 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 22
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.
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1598776742
IN
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1942303086
-
- Federally Qualified Health Center (FQHC)
- Seymour, IN
- NPI 1124434469
-
- Federally Qualified Health Center (FQHC)
- Bedford, IN
- NPI 1093427999
-
- Federally Qualified Health Center (FQHC)
- Marion, IN
- NPI 1215343389
-
- Federally Qualified Health Center (FQHC)
- Peru, IN
- NPI 1336373190
-
- Federally Qualified Health Center (FQHC)
- Brownstown, IN
- NPI 1437873841
-
- Federally Qualified Health Center (FQHC)
- Spencer, IN
- NPI 1609315829
-
- Federally Qualified Health Center (FQHC)
- South Bend, IN
- NPI 1649063249
-
- Federally Qualified Health Center (FQHC)
- South Bend, IN
- NPI 1780065672
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Indiana Health Centers Inc
Practice addresses (Care Compare)
120 Saint Louis Ave
Seymour, IN 47274-2304
Phone (812) 405-1857
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230518000345 | IN | Practitioner - Nurse Practitioner | 5092171033 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71011851A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| Indiana Health Centers, Inc. | Current | Accepting new patients | |
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| Onhealthcare, LLC | Current | Accepting new patients | |
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| Onhealthcare LLC | Current | Accepting new patients | |
| Indiana Health Centers Inc | Current | Accepting new patients | |
| Onhealthcare LLC | Past | Accepting new patients | |
| Indiana Health Centers, Inc | Past | Accepting new patients |
Locations
8003 Castleway Dr
Indianapolis, IN 46250
Phone (317) 576-1335
8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 537-9522
711 Green Rd
Madison, IN 47250
Phone (812) 265-2611
120 Saint Louis Ave
Seymour, IN 47274
Phone (812) 405-1857
765 S Michigan St
South Bend, IN 46601
Phone (574) 235-7990
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71011851A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
120 Saint Louis Ave
Seymour, IN 47274-2304
Mailing address
8003 Castleway Dr
Indianapolis, IN 46250-1946
Phone (317) 576-1335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 7, 2024.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1043974140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8003 CASTLEWAY DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462501946",
"telephone_number": "317-576-1335",
"fax_number": "317-343-6562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SAINT LOUIS AVE",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742304",
"telephone_number": "812-405-1857",
"fax_number": "812-954-5022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "DANA",
"middle_name": "CATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-25",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71011851A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.