Nancy A Weaver, NP
Individual provider Active NPI Nurse Practitioner · Carson City, MI
NPI 1366419806 · NPPES record last updated Oct 15, 2010
Key facts
- NPI
- 1366419806
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704114564 (MI)
- Practice address
- 518 E Elm St
Carson City, MI 48811 - Phone
- (989) 584-1308
- Fax
- (989) 584-0307
- NPI assigned
- Mar 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sparrow Carson Hospital
Practice addresses (Care Compare)
102 S 3Rd St
Suite 300
Carson City, MI 48811-5115
Phone (989) 584-6321
Hospital & facility affiliations
- University of Michigan Health-Sparrow Carson
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090812000391 | MI | Practitioner - Nurse Practitioner | 8022162965 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current |
Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
102 S 3rd St
Ste 300
Carson City, MI 48811
Phone (989) 584-6321
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704114564 | MI | Yes |
Addresses
Primary practice location
518 E Elm St
Carson City, MI 48811
Mailing address
406 East Elm Street
PO Box 730
Carson City, MI 48811
Phone (989) 584-3131
Other providers in Carson City, MI
- Mariah Elizabeth Thelen
- Thomas O Morgan DO PC
- Delia J Thrasher
- Gary Anthony Truelove
- Brandy Watson
- Teri Ann Weber
- John Wellman
- Franklin M West
- Elissa M Yarnold
- Cheryl Lynn Young
All providers in Carson City, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.