Individual provider Active NPI

Kasey Jolee Weaver, FNP

  • Family Nurse Practitioner
  • West Seneca, NY
National Provider Identifier
1306403449
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344622 Issued in NY
Practice address
550 Orchard Park Rd Ste A110
West Seneca, NY 14224-2646
Phone
(716) 650-5720
Fax
(716) 650-4618
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X F344622-01 NY
Family Nurse Practitioner 363LF0000X 344622 NY Primary
Registered Nurse 163W00000X 702580 NY

Addresses

Primary practice location

550 Orchard Park Rd Ste A110
West Seneca, NY 14224-2646

Mailing address

550 Orchard Park Rd Ste A110
West Seneca, NY 14224-2646
Phone (716) 650-5720

Other identifiers 1

IdentifierTypeStateIssuer
05668364MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190822003272 NY Practitioner - Nurse Practitioner 7810225208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Near Me Dermatology PLLCGroup PAC ID 5799177747, 4 clinicians

Practice addresses (Care Compare)

550 Orchard Park Rd
Suite A110
West Seneca, NY 14224-2646
Phone (716) 650-5720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
702580NYMDRegistered Nurse
F344622-01NYMDDermatology Physician
344622NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Near Me Dermatology PLLC Dermatology CurrentSince Aug 1, 2025 Accepting new patients

Locations

5210 Linton Blvd
Ste 307
Delray Beach, FL 33484
Phone (561) 499-0660

112 W Main St
Allegany, NY 14706
Phone (716) 373-0700

609 Central Ave
Dunkirk, NY 14048
Phone (716) 363-6960

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1306403449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD STE A110",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242646",
            "telephone_number": "716-650-5720",
            "fax_number": "716-650-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD STE A110",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242646",
            "telephone_number": "716-650-5720",
            "fax_number": "716-650-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KASEY",
        "middle_name": "JOLEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "F344622-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344622",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "702580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05668364",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.