Individual provider Active NPI

Lisa Marie Weppler, CNM

  • Advanced Practice Midwife
  • Wilson, NC
National Provider Identifier
1063652675
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
394 Issued in NC
Practice address
1801 Glendale Dr SW
Wilson, NC 27893-4401
Phone
(252) 791-3111
NPI assigned
Feb 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 394 NC Primary

Addresses

Primary practice location

1801 Glendale Dr SW
Wilson, NC 27893-4401

Mailing address

3302 Queensferry Dr NW
Wilson, NC 27896-9300
Phone (252) 246-9254

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150725012669 NC Practitioner - Certified Nurse Midwife (CNM) 0143533703 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
County of Wilson CurrentSince May 19, 2015 Accepting new patients
County of Wilson Past Accepting new patients

Locations

1801 Glendale Dr SW
Wilson, NC 27893
Phone (252) 237-3141

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1063652675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 QUEENSFERRY DR NW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278969300",
            "telephone_number": "252-246-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GLENDALE DR SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934401",
            "telephone_number": "252-791-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEPPLER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.