Individual provider Active NPI

Anthony D Weaver, CRNA

  • Certified Registered Nurse Anesthetist
  • Indianapolis, IN
National Provider Identifier
1407942188
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28207816A Issued in IN
Practice address
7150 Clearvista Dr
Indianapolis, IN 46256-1695
Phone
(317) 621-5890
Fax
(317) 621-7884
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704213024 MI
Certified Registered Nurse Anesthetist 367500000X 28207816A IN Primary

Addresses

Primary practice location

7150 Clearvista Dr
Indianapolis, IN 46256-1695

Mailing address

7150 Clearvista Dr
Indianapolis, IN 46256-1695
Phone (317) 621-5890

Other practice location 1

1000 E Main St
Danville, IN 46122-1948
Phone (317) 745-3515

Other identifiers 1

IdentifierTypeStateIssuer
4493716MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aweaver453298@direct-PRD.stelizabeth.com
Direct Messaging Address aweaver72548@eCommunityDirect.com Community Physicians of Indiana Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130807000890 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133286891 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jebs Anesthesia Consultants, LLCGroup PAC ID 4486046646, 37 clinicians
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

1601 W Lincoln Rd
Kokomo, IN 46902-3275
Phone (765) 453-5696

7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444

7150 Clearvista Dr
Indianapolis, IN 46256-1695
Phone (317) 621-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Williamsport Hospital CurrentSince Dec 10, 2021 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 24, 2013 Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2021 Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Jan 1, 2023 Accepting new patients
Amsurg Indianapolis Anesthesia LLC CurrentSince Oct 1, 2019 Accepting new patients
Hendricks County Hospital CurrentSince Oct 1, 2025 Accepting new patients
St. Vincent Williamsport Hospital CurrentSince Dec 10, 2021 Accepting new patients
Hendricks County Hospital CurrentSince Oct 1, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 24, 2013 Accepting new patients
Hendricks County Hospital Current Accepting new patients
Crnas of Michigan Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

8057 Collection Ctr Dr
Chicago, IL 60693

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1000 E Main St
Danville, IN 46122
Phone (317) 745-3420

7747 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-9104

30 N Emerson Ave
Greenwood, IN 46143
Phone (317) 881-3937

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

8424 Naab Rd
Indianapolis, IN 46260
Phone (317) 871-7308

7150 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 355-5041

1601 W Lincoln Rd
Kokomo, IN 46902
Phone (765) 453-5696

900 I St
Laporte, IN 46350
Phone (219) 324-1670

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604

412 N Monroe St
Williamsport, IN 47993
Phone (765) 762-2496

Interoperability endpoints

  • Direct secure messaging: aweaver72548@ecommunitydirect.com
  • Direct secure messaging: aweaver453298@direct-prd.stelizabeth.com

Organizations & group practices 11

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1407942188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 CLEARVISTA DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561695",
            "telephone_number": "317-621-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 CLEARVISTA DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561695",
            "telephone_number": "317-621-5890",
            "fax_number": "317-621-7884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Main St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "IN",
            "postal_code": "461221948",
            "country_code": "US",
            "telephone_number": "317-745-3515",
            "fax_number": "317-718-4072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ANTHONY",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704213024",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28207816A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4493716",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aweaver453298@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "1000 E Main St",
            "city": "Danville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461221948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aweaver72548@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "7150 Clearvista Dr",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462561695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.