Individual provider Active NPI

Melissa Kay Weaver

  • Physician Assistant
  • Gainesville, FL
National Provider Identifier
1235526526
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108803 Issued in FL
Practice address
4423 NW 6TH PL Ste a
Gainesville, FL 32607-6116
Phone
(352) 377-5600
NPI assigned
Apr 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9108803 FL Primary

Addresses

Primary practice location

4423 NW 6TH PL Ste a
Gainesville, FL 32607-6116

Mailing address

4423 NW 6TH PL Ste a
Gainesville, FL 32607-6116
Phone (352) 377-5600

Other identifiers 1

IdentifierTypeStateIssuer
015422100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150918000360 FL Practitioner - Physician Assistant 2567779820 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of North Central Florida P aGroup PAC ID 9537134887, 10 clinicians

Practice addresses (Care Compare)

215 SW Prosperity PL
Suite 110
Lake City, FL 32024-0699
Phone (386) 754-1716

340 NW Commerce Dr
Lake City, FL 32055-4709
Phone (386) 719-9000

4423 NW 6TH PL
Suite a
Gainesville, FL 32607-6116
Phone (352) 377-5600

4423 NW 6TH Place
Suite a
Gainesville, FL 32607-6116

Hospital & facility affiliations

  • HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156
  • Lake Butler Hospital Hospital, Lake Butler, FL, CCN 101303
  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204
  • Doctors Memorial Hospital Inc Hospital, Perry, FL, CCN 101314
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9108803FLMDPhysician Assistant

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jul 10, 2023 Accepting new patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Jul 10, 2023 Accepting new patients
West Florida Specialty Physicians LLC Past Accepting new patients
Tampa Neurology Associates PastSince Jul 21, 1996 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mweaver64165@direct.acumenmd.com

Organizations & group practices 9

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 12

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1235526526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 NW 6TH PL STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076116",
            "telephone_number": "352-377-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 NW 6TH PL STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076116",
            "telephone_number": "352-377-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MELISSA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015422100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.