Individual provider Active NPI

Dana Catherine Weaver

  • Psychiatric/Mental Health Nurse Practitioner
  • Seymour, IN
National Provider Identifier
1043974140
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71011851A Issued in IN
Practice address
120 Saint Louis Ave
Seymour, IN 47274-2304
Phone
(812) 405-1857
Fax
(812) 954-5022
NPI assigned
Oct 25, 2021
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71011851A IN Primary

Addresses

Primary practice location

120 Saint Louis Ave
Seymour, IN 47274-2304

Mailing address

8003 Castleway Dr
Indianapolis, IN 46250-1946
Phone (317) 576-1335

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
I20230518000345 IN Practitioner - Nurse Practitioner 5092171033 Reassigns benefits to 3 organizations

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 IncGroup PAC ID 3971599473, 63 clinicians

Practice addresses (Care Compare)

120 Saint Louis Ave
Seymour, IN 47274-2304
Phone (812) 405-1857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71011851AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Indiana, Auditor of State CurrentSince Feb 15, 2023 Accepting new patients
Onhealthcare LLC CurrentSince Aug 17, 2023 Accepting new patients
Onhealthcare, LLC Current Accepting new patients
Indiana Health Centers, Inc. CurrentSince Apr 1, 2024 Accepting new patients
State of Indiana, Auditor of State CurrentSince Feb 15, 2023 Accepting new patients
State of Indiana, Auditor of State Current Accepting new patients
Indiana Health Centers Inc CurrentSince Apr 1, 2024 Accepting new patients
Indiana Health Centers, Inc Past Accepting new patients
Onhealthcare LLC 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

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "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

Verify at the official NPI Registry.