Individual provider Active NPI

Kevin Weaver, NP

  • Family Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1154711596
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704270679 Issued in MI
Practice address
900 Cooper Ave Ste 4100
Saginaw, MI 48602-5182
Phone
(989) 583-4700
NPI assigned
Jan 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704270679 MI Primary
Nurse Practitioner 363L00000X 204861 ND
Nurse Practitioner 363L00000X 4704270679 MI

Addresses

Primary practice location

900 Cooper Ave Ste 4100
Saginaw, MI 48602-5182

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4700

Other practice location 1

700 Cooper Ave
Saginaw, MI 48602-5383
Phone (989) 583-4700

Other practice location 2

4201 Campus Ridge Dr Ste 3100
Midland, MI 48640-6135
Phone (989) 488-5410

Other practice location 3

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150323002033 MI Practitioner - Nurse Practitioner 1456678804 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians

Practice addresses (Care Compare)

1015 S Washington Ave
FL 1
Saginaw, MI 48601-2556
Phone (989) 907-4382

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alpena CurrentSince Sep 12, 2016 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Aug 29, 2024 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Aug 29, 2024 Accepting new patients
Mymichigan Medical Group CurrentSince Sep 12, 2016 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Covenant Medical Center, Inc CurrentSince Aug 24, 2023 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413

602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

4201 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 488-5450

900 Cooper Ave
Ste 4100
Saginaw, MI 48602
Phone (989) 497-9395

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289

1015 S Washington Ave
Fl 1
Saginaw, MI 48601
Phone 98975430004332

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

Interoperability endpoints

  • Direct secure messaging: kevin.weaver.1@11016.direct.athenahealth.com
  • Direct secure messaging: kweaver153475@direct.covenanthealthcare.com
  • Direct secure messaging: kweaver7059@mymichiganhealth.midirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1154711596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOPER AVE STE 4100",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025182",
            "telephone_number": "989-583-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Cooper Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486025383",
            "country_code": "US",
            "telephone_number": "989-583-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 Campus Ridge Dr Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486406135",
            "country_code": "US",
            "telephone_number": "989-488-5410",
            "fax_number": "989-488-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1447 N Harrison St",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486024727",
            "country_code": "US",
            "telephone_number": "989-583-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KEVIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-23",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704270679",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "204861",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704270679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.