Individual provider Active NPI

Elizabeth Ann Weber, NP-C, CNRN, SCRN

  • Family Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1184886509
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28139512A Issued in IN
Practice address
1010 W Washington Center Rd
Fort Wayne, IN 46825-4155
Phone
(419) 725-1938
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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 28139512A IN Primary

Addresses

Primary practice location

1010 W Washington Center Rd
Fort Wayne, IN 46825-4155

Mailing address

PO Box 632547
Cincinnati, OH 45263-2547
Phone (419) 725-1938

Other identifiers 2

IdentifierTypeStateIssuer
201035360MedicaidIN
0055419MedicaidOH

Other names 1

  • Elizabeth Osborne Former name

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
I20110421000441 IN Practitioner - Nurse Practitioner 7315122173 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6619 Brotherhood Way
Fort Wayne, IN 46825-4226

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28139512AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kingston Care Partners, LLC CurrentSince Sep 17, 2018 Accepting new patients
Emergency Medicine of Indiana LLC Past Accepting new patients

Locations

1716 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 490-5111

1010 W Washington Center Rd
Fort Wayne, IN 46825
Phone (260) 203-1582

1 Seagate
Ste 1960
Toledo, OH 43604
Phone (419) 247-2880

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.

Hospital & facility affiliations 1

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1184886509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632547",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632547",
            "telephone_number": "419-725-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W WASHINGTON CENTER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468254155",
            "telephone_number": "419-725-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP-C, CNRN, SCRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28139512A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201035360",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055419",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "OSBORNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.