Individual provider Active NPI

Kathryn Weaver, APRN

  • Family Nurse Practitioner
  • North Platte, NE
National Provider Identifier
1255990586
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112810 Issued in NE
Practice address
210 McNeel LN
North Platte, NE 69101-6290
Phone
(308) 221-6262
NPI assigned
Jun 11, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 112810 NE Primary

Addresses

Primary practice location

210 McNeel LN
North Platte, NE 69101-6290

Mailing address

210 McNeel LN
North Platte, NE 69101-6290
Phone (308) 221-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20190724003421 NE Practitioner - Nurse Practitioner 8325374648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Platte OB/GYN PCGroup PAC ID 8820088701, 7 clinicians

Practice addresses (Care Compare)

1115 S Willow St
North Platte, NE 69101-6082
Phone (308) 534-4804

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte OB/GYN PC CurrentSince Dec 1, 2021 Accepting new patients

Locations

1115 S Willow St
North Platte, NE 69101
Phone (308) 534-4804

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1255990586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MCNEEL LN",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016290",
            "telephone_number": "308-221-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MCNEEL LN",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016290",
            "telephone_number": "308-221-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KATHRYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.