Individual provider Active NPI

Megan Weaver, APRN, FNP-C

  • Family Nurse Practitioner
  • Lawton, OK
National Provider Identifier
1396427613
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214713 Issued in OK
Practice address
5109 W Gore Blvd
Lawton, OK 73505-5998
Phone
(580) 400-7997
Fax
(405) 840-5102
NPI assigned
Aug 4, 2023
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 214713 OK Primary

Addresses

Primary practice location

5109 W Gore Blvd
Lawton, OK 73505-5998

Mailing address

5109 W Gore Blvd
Lawton, OK 73505-5998
Phone (580) 400-7997

Other names 1

  • Meg Weaver Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20241212004077 OK Practitioner - Nurse Practitioner 7113453127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spine Care of Oklahoma LLCGroup PAC ID 3476549114, 5 clinicians

Practice addresses (Care Compare)

5109 W Gore Blvd
Lawton, OK 73505-5998
Phone (405) 840-5100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214713OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Care of Oklahoma, LLC CurrentSince Dec 1, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

508 W 15th St
Edmond, OK 73013
Phone (405) 615-0290

5109 W Gore Blvd
Lawton, OK 73505
Phone (405) 840-5100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1396427613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055998",
            "telephone_number": "580-400-7997",
            "fax_number": "580-400-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055998",
            "telephone_number": "580-400-7997",
            "fax_number": "405-840-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MEGAN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "214713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEG",
            "last_name": "WEAVER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.