Individual provider Active NPI

Emily Jane Weaver

  • Obstetrics & Gynecology Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1295326163
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
R196972 Issued in MD
Practice address
1165 Imperial Dr Ste 300
Hagerstown, MD 21740-6556
Phone
(301) 665-9098
NPI assigned
Feb 2, 2021
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X R196972 MD Primary

Addresses

Primary practice location

1165 Imperial Dr Ste 300
Hagerstown, MD 21740-6556

Mailing address

1165 Imperial Dr Ste 300
Hagerstown, MD 21740-6556
Phone (301) 665-9098

Other identifiers 1

IdentifierTypeStateIssuer
NAMedicaidMD

Other names 1

  • Emily Jane Miles Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily.weaver.p1@direct.cwcare.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20210503001483 MD Practitioner - Nurse Practitioner 9335558402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

1165 Imperial Dr
Suite 300
Hagerstown, MD 21740-6556
Phone (301) 665-9098

61 Thomas Johnson Dr
Frederick, MD 21702-4301
Phone (301) 663-6171

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R196972MDMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women's Care, L.L.C. Current Accepting new patients
Capital Women's Care, L.L.C. CurrentSince May 3, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

1165 Imperial Dr
Ste 300
Hagerstown, MD 21740
Phone (301) 665-9098

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1295326163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 IMPERIAL DR STE 300",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406556",
            "telephone_number": "301-665-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 IMPERIAL DR STE 300",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406556",
            "telephone_number": "301-665-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "EMILY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "R196972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.weaver.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1165 Imperial Dr Ste 300",
            "city": "Hagerstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217406556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MILES",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.