Katelyn Elizabeth Roxanne Weber, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28752 Issued in TN

Practice address

5003 Crossings Cir Ste 103
Mount Juliet, TN 37122-8583

Phone

(216) 443-0430

NPI assigned

Jun 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Merit-based Incentive Payment System (MIPS)

Final score

80.65 of 100Reported as group

Quality

78.55

Improvement activities

40

Cost

74.82

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Emergi-Trust

  • Emergency Medicine Physician
  • Franklin, TN
  • NPI 1497725873
  Medicare reassignment NPD
• Emedical Group Inc

  • Health Service Clinic/Center
  • Troy, AL
  • NPI 1457644742
  NPD (past)

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1245857010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUPERIOR AVE E STE 2400",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142691",
            "telephone_number": "216-443-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 CROSSINGS CIR STE 103",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228583",
            "telephone_number": "216-443-0430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1612 Gordon Petty Dr",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370277308",
            "country_code": "US",
            "telephone_number": "619-623-5622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9330 Park West Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234309",
            "country_code": "US",
            "telephone_number": "216-443-0430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "KATELYN",
        "middle_name": "ELIZABETH ROXANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-28",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ward, DMD
• Jefferson Tyler Watson, M.D.
• Rachel Katherine Watson, MSN-C,
• Timika Evon Webb
• Jade Christian Weber
• Sara Wei, DDS
• Weight Loss Solutions and More PLLC
• Jayson L Weir
• Miriam Weiss, PMHNP
• Wellness Institute of Nashville P.C.

• Family Nurse Practitioner in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.