Jasmine T. Weaver, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS13377 Issued in FL

Practice address

781 Cypress Village Blvd
Sun City Center, FL 33573-6801

Phone

(813) 633-3600

Fax

(813) 634-8210

NPI assigned

Jun 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: jasmine.weaver@wellmed.eclinicaldirectplus.com

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.

• Optumcare Florida LLC

  • General Practice Physician
  • Tampa, FL
  • NPI 1053384214
  Medicare reassignment Care Compare group
• Lakeland Regional Health Systems, Inc.

  • Multi-Specialty Clinic/Center
  • Lakeland, FL
  • NPI 1497748743
  Medicare reassignment NPD
• Southern Westchester Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Yonkers, NY
  • NPI 1235413477
  Medicare reassignment NPD
• Throgs Neck Urgent Medical Care PLLC

  • Urgent Care Clinic/Center
  • Yonkers, NY
  • NPI 1154684207
  Medicare reassignment NPD
• Optumcare Florida Ci, LLC

  • Primary Care Clinic/Center
  • Winter Park, FL
  • NPI 1720506603
  NPD (past)

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1417218850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 CYPRESS VILLAGE BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736801",
            "telephone_number": "813-634-2500",
            "fax_number": "813-634-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 CYPRESS VILLAGE BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736801",
            "telephone_number": "813-633-3600",
            "fax_number": "813-634-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JASMINE",
        "middle_name": "T.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "270415-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS13377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015458300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delesa Shana Kay Walden
• Walgreen Co
• Janice Ward, RPT
• Kathryn L Warner
• Randall James Warren, M.D.
• Jessica Mae Weaver, MSN, APRN, PMHNP-BC
• Loren Elizabeth Whitmore
• Brittany Whitworth, OTD, OTR/L
• Mariah Jelesa Willis, NP
• Mark R Winer, PA-C

• Family Medicine Physician in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.