Individual provider Active NPI

Adriane Weaver, APRN

  • Family Nurse Practitioner
  • Munster, IN
National Provider Identifier
1407339765
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209017847 Issued in IL
Practice address
8135 Calumet Ave
Munster, IN 46321-1701
Phone
(219) 513-2000
Fax
(708) 442-6829
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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 209017847 IL Primary

Addresses

Primary practice location

8135 Calumet Ave
Munster, IN 46321-1701

Mailing address

8135 Calumet Ave
Munster, IN 46321-1701
Phone (219) 513-2000

Other practice location 1

353 E Burlington St
Riverside, IL 60546-2189
Phone (708) 442-6006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20181010000604 IL Practitioner - Nurse Practitioner 5496007015 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians
Southside Primary Care Group SCGroup PAC ID 4587952650, 9 clinicians

Practice addresses (Care Compare)

12550 S Ridgeland Ave
Palos Heights, IL 60463-1859
Phone (708) 597-9300

621 E Lincoln Hwy
New Lenox, IL 60451-1972
Phone (815) 907-5956

7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone (773) 947-2831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209017847ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Rose Healthcare Management LLC CurrentSince Mar 16, 2021 Accepting new patients
Southside Primary Care Group SC CurrentSince Jun 1, 2025 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Jul 14, 2025 Accepting new patients
CMC Healthcare LLC CurrentSince Sep 3, 2025 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jul 15, 2021 Accepting new patients
Nwi Urgent Care, LLC CurrentSince Aug 8, 2021 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jul 15, 2021 Accepting new patients
The Methodist Hospitals, Inc PastSince Aug 8, 2021 Accepting new patients
Rajiv Kandala M D S C PastSince Jun 27, 2021 Accepting new patients

Locations

12200 Western Ave
Blue Island, IL 60406
Phone (630) 581-5372

45 W 111th St
Chicago, IL 60628
Phone (773) 995-3000

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

800 W Fulton Market
Fl 12
Chicago, IL 60607

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

7531 S Stony Island Ave
Ste 164
Chicago, IL 60649
Phone (773) 947-2831

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

1840 N Richmond Rd
McHenry, IL 60051
Phone (779) 704-3075

621 E Lincoln Hwy
New Lenox, IL 60451
Phone (815) 907-5955

1711 W Highway 50
O Fallon, IL 62269
Phone (618) 206-5076

12550 S Ridgeland Ave
Palos Heights, IL 60463
Phone (708) 597-9300

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

Organizations & group practices 9

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1407339765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211701",
            "telephone_number": "219-513-2000",
            "fax_number": "708-442-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211701",
            "telephone_number": "219-513-2000",
            "fax_number": "708-442-6829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 E Burlington St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "IL",
            "postal_code": "605462189",
            "country_code": "US",
            "telephone_number": "708-442-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ADRIANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.