Jordy Weaver, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

242019 Issued in AZ

Practice address

214 S Main St
Cottonwood, AZ 86326-3907

Phone

(928) 649-8259

NPI assigned

Jun 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mingus Medical Care PLLCGroup PAC ID 3274786223, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health of Arizona Home health agency, Cottonwood, AZ, CCN 037217
• Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mingus Medical Care PLLC

  • Primary Care Clinic/Center
  • Cottonwood, AZ
  • NPI 1457604019
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Angels Touch, Inc

  • Home Health Agency
  • Cottonwood, AZ
  • NPI 1821083882
  Care Compare affiliation
• Verde Valley Medical Center

  • General Acute Care Hospital
  • Cottonwood, AZ
  • NPI 1346291648
  Care Compare affiliation
• Verde Valley Medical Center

  • General Acute Care Hospital
  • Sedona, AZ
  • NPI 1538608716
  Care Compare affiliation

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1306460159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S MAIN ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263907",
            "telephone_number": "928-649-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S MAIN ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263907",
            "telephone_number": "928-649-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JORDY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-07",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "242019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie J Walsh, M.S.
• Tarrin M Walz, PT
• Victoria Wang
• Cristy L Waters, PA-C
• Mary Alaynick Watson, M.D.
• Samuel Weimer, M.D.
• James Kyle Weir, LMT
• Nathaniel Welly, PAC
• Thomas D Wendel, MD
• Sharon Marie Wenger, P.T.

• Family Nurse Practitioner in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.