Individual provider Active NPI

Lacee L Weaver, CRNP

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1336906775
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP029338 Issued in PA
Practice address
1001 Liberty Ave Ste 5
Pittsburgh, PA 15222-3715
Phone
(855) 706-5387
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP029338 PA Primary

Addresses

Primary practice location

1001 Liberty Ave Ste 5
Pittsburgh, PA 15222-3715

Mailing address

405 N Murtland St
Pittsburgh, PA 15208-2442
Phone (814) 244-8672

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240317000014 PA Practitioner - Nurse Practitioner 0244676930 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Care Medical Associates, LLCGroup PAC ID 1456344084, 64 clinicians
SNF Specialty ServicesGroup PAC ID 3375989668, 56 clinicians

Practice addresses (Care Compare)

2000 Cliffmine Rd
Suite 500
Pittsburgh, PA 15275-1053
Phone (878) 201-3312

2395 Lancaster Pike
FL 1
Reading, PA 19607-2375
Phone (570) 561-2990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP029338PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Care Medical Associates LLC CurrentSince May 1, 2025 Accepting new patients
Wellbe Senior Medical Group of Pennsylvania PC CurrentSince Mar 18, 2024 Accepting new patients

Locations

225 W Washington St
Ste 1500
Chicago, IL 60606
Phone (312) 776-2422

2170 Rhine St
Pittsburgh, PA 15212
Phone (412) 323-0420

1001 Liberty Ave
Ste 5
Pittsburgh, PA 15222
Phone (855) 493-5523

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1336906775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N MURTLAND ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152082442",
            "telephone_number": "814-244-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LIBERTY AVE STE 5",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223715",
            "telephone_number": "855-706-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "LACEE",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP029338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.