Individual provider Active NPI

Victoria Lynne Weaver, CRNP

  • Nurse Practitioner
  • Willow Street, PA
National Provider Identifier
1225543697
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP018239 Issued in PA
Practice address
2850 Willow Street Pike N Ste a
Willow Street, PA 17584-9231
Phone
(717) 464-9430
Fax
(717) 464-1680
NPI assigned
Dec 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X SP018239 PA Primary

Addresses

Primary practice location

2850 Willow Street Pike N Ste a
Willow Street, PA 17584-9231

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180430002211 PA Practitioner - Nurse Practitioner 0547524431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians

Practice addresses (Care Compare)

2850 Willow St Pike N
Suite a
Willow Street, PA 17584-9231
Phone (717) 464-9430

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Lancaster, PA, CCN 397231
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Glen at Willow Valley Nursing home, Lancaster, PA, CCN 395956

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC Multi-Specialty CurrentSince Apr 15, 2025 Accepting new patients
Lancaster Family Medicine Associates, P.C. Multi-Specialty CurrentSince Mar 9, 2018 Accepting new patients
Family Practice Center, PC CurrentSince Apr 15, 2025 Accepting new patients
Lancaster Cleft Palate Clinic Multi-Specialty Past Accepting new patients

Locations

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

270 Susquehanna Valley Mall Dr
Ste 300
Selinsgrove, PA 17870
Phone (570) 743-1703

2850 Willow Street Pike N
Ste A
Willow Street, PA 17584
Phone (717) 464-9430

Interoperability endpoints

  • Direct secure messaging: victoriaweavercrnp@fpc.medentdirect.com

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 6

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": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1225543697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 WILLOW STREET PIKE N STE A",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849231",
            "telephone_number": "717-464-9430",
            "fax_number": "717-464-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "VICTORIA",
        "middle_name": "LYNNE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Street, PA

Sources for this page

Verify at the official NPI Registry.