Individual provider Active NPI

Ashley Weaver, FNP-C

  • Nurse Practitioner
  • Oxford, MI
National Provider Identifier
1255939880
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704315817 Issued in MI
Practice address
605 S Lapeer Rd Ste D
Oxford, MI 48371-6509
Phone
(248) 274-6066
Fax
(248) 278-4876
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704315817 MI Primary

Addresses

Primary practice location

605 S Lapeer Rd Ste D
Oxford, MI 48371-6509

Mailing address

1394 Pembroke LN
Oxford, MI 48371-5924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20201222002811 MI Practitioner - Nurse Practitioner 7618389305 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704315817MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobicare, LLC CurrentSince Mar 1, 2021 Accepting new patients
Cardinal Hospice South, LLC PastSince Mar 1, 2021 Accepting new patients

Locations

605 S Lapeer Rd
Ste D
Oxford, MI 48371
Phone (248) 274-6066

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1255939880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 PEMBROKE LN",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483715924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S LAPEER RD STE D",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716509",
            "telephone_number": "248-274-6066",
            "fax_number": "248-278-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ASHLEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704315817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

Verify at the official NPI Registry.