Jacqueline Weaver, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP013488 Issued in PA

Practice address

555 N Duke St
Lancaster, PA 17602-2250

Phone

(717) 544-5681

Fax

(717) 544-4665

NPI assigned

Dec 31, 2013

Last updated

Dec 31, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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 PA

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

• Lancaster General Medical Group

  dba Penn Medicine LGHP Behavioral Health

  • Psychiatry Physician
  • Lancaster, PA
  • NPI 1952392383
  Medicare reassignment Care Compare group NPD
• Lancaster General Hospital

  dba Penn Medicine Lancaster General Health Physicians Radiation Oncology

  • Radiation Oncology Physician
  • Lancaster, PA
  • NPI 1720430812
  Medicare reassignment NPD
• Lancaster General Hospital

  dba Penn Medicine LGHP Walter L. Aument Family Health Center

  • Family Medicine Physician
  • Quarryville, PA
  • NPI 1255352092
  NPD
• Lancaster General Medical Group

  • Obstetrics & Gynecology Physician
  • Lancaster, PA
  • NPI 1306724570
  NPD
• Lancaster General Medical Group

  dba Penn Medicine LGHP Urgent Care Duke Street

  • Urgent Care Clinic/Center
  • Lancaster, PA
  • NPI 1609327170
  NPD

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1336560879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-5681",
            "fax_number": "717-544-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-5681",
            "fax_number": "717-544-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JACQUELINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-31",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christi Collins Weaver, CRNP
• Cody Eli Weaver, CRNP
• David L Weaver
• Elise J Weaver, BS
• Erma Weaver, LCSW
• Jeri Stelson Weaver, MA
• Larry Dean Weaver Jr., LPTA
• Laura Weaver
• Lauren Mackenzie Weaver, PA-C
• Lesetta Weaver, CRNP

• Family Nurse Practitioner in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.