Individual provider Active NPI

Amber Sinclaire Weaver, FNP-BC

  • Family Nurse Practitioner
  • Fairmont, WV
National Provider Identifier
1114448768
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN57284 Issued in WV
Practice address
1044 Hite Cir
Fairmont, WV 26554-9398
Phone
(304) 476-8497
Fax
(772) 238-2080
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN57284 WV Primary

Addresses

Primary practice location

1044 Hite Cir
Fairmont, WV 26554-9398

Mailing address

1044 Hite Cir
Fairmont, WV 26554-9398
Phone (304) 476-8497

Other identifiers 1

IdentifierTypeStateIssuer
1114448768MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20170816002335 WV Practitioner - Nurse Practitioner 9638441207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.1 of 100Reported as group
Quality
79.62
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN57284WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Family Wellness Family CurrentSince Aug 1, 2021 Accepting new patients
Monongahela Valley Association of Health Centers, Inc CurrentSince Jun 5, 2025 Accepting new patients
Sanjay Bharti MD PLLC CurrentSince Aug 20, 2023 Accepting new patients
Monongahela Valley Association of Health Centers, Inc. CurrentSince Jun 5, 2025 Accepting new patients

Locations

105 Doctors Dr
Bridgeport, WV 26330
Phone (304) 842-5210

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

51 Southland Dr
Ste 1200
Fairmont, WV 26554
Phone (304) 363-2018

1993 Airport Rd
Fairmont, WV 26554
Phone (304) 366-0700

51 Southland Dr
Fairmont, WV 26554
Phone (304) 333-8385

1322 Locust Ave
Fairmont, WV 26554
Phone (304) 366-0700

1 North Marion Dr
Farmington, WV 26571
Phone (304) 986-2550

800 E Main St
Ste B
Mannington, WV 26582
Phone (304) 968-2996

118 Market St
Mannington, WV 26582
Phone (304) 986-1750

1 Columbia Rd
Shinnston, WV 26431
Phone (304) 367-8710

Organizations & group practices 4

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1114448768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 HITE CIR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265549398",
            "telephone_number": "304-476-8497",
            "fax_number": "772-238-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 HITE CIR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265549398",
            "telephone_number": "304-476-8497",
            "fax_number": "772-238-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "AMBER",
        "middle_name": "SINCLAIRE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN57284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114448768",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

Verify at the official NPI Registry.