Individual provider Active NPI

Janel Weaver, FNP-C

  • Family Nurse Practitioner
  • Defiance, OH
National Provider Identifier
1255723805
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.17096 Issued in OH
Practice address
1250 Ralston Ave Ste 204
Defiance, OH 43512-5309
Phone
(419) 783-6997
Fax
(419) 782-6103
NPI assigned
Feb 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 APRN.CNP.17096 OH Primary

Addresses

Primary practice location

1250 Ralston Ave Ste 204
Defiance, OH 43512-5309

Mailing address

1250 Ralston Ave Ste 104
Defiance, OH 43512-5308

Other identifiers 1

IdentifierTypeStateIssuer
0119901MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jweaver13271@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150408002175 OH Practitioner - Nurse Practitioner 1951629633 Reassigns benefits to 2 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
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians
Wood Health Company LLCGroup PAC ID 7911800461, 61 clinicians

Practice addresses (Care Compare)

1250 Ralston Ave
Defiance, OH 43512-5308

2109 Hughes Dr
Suite 450
Toledo, OH 43606-5102
Phone (419) 291-2003

2901 N Reynolds Rd
Toledo, OH 43606
Phone (419) 578-7700

838 E Wooster St
Bowling Green, OH 43402-2601
Phone (419) 372-2271

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.17096OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Dec 31, 2015 Accepting new patients
Wood Health Company LLC CurrentSince Aug 26, 2024 Accepting new patients
Promedica Central Physicians CurrentSince Dec 31, 2015 Accepting new patients

Locations

745 Haskins Rd
Ste B
Bowling Green, OH 43402
Phone (419) 373-7607

838 E Wooster St
Bowling Green, OH 43402
Phone (419) 372-2271

1250 Ralston Ave
Ste 204
Defiance, OH 43512
Phone (419) 782-8332

1250 Ralston Ave
Ste 104
Defiance, OH 43512
Phone (419) 784-3044

141 N Keyser Ave
Deshler, OH 43516
Phone (419) 278-2065

1000 Westmoreland Ave
Ste D
Napoleon, OH 43545

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Interoperability endpoints

  • Direct secure messaging: jweaver13271@direct.promedica.org
  • Direct secure messaging: janel.weaver.d1.p1@direct.whc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1255723805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 RALSTON AVE STE 104",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435125308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 RALSTON AVE STE 204",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435125309",
            "telephone_number": "419-783-6997",
            "fax_number": "419-782-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JANEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.17096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119901",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jweaver13271@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "1250 Ralston Ave Ste 204",
            "city": "Defiance",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435125309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

Verify at the official NPI Registry.