Nicholas Weaver, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA433 Issued in AR

Practice address

329 N Hill St
Amity, AR 71921-9635

Phone

(870) 342-5606

Fax

(870) 334-2580

NPI assigned

Apr 13, 2011

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Healthstar Physicians of Hot Springs, PLLC

  dba Hamilton West Family Medicine

  • Family Medicine Physician
  • Hot Springs, AR
  • NPI 1821176934
  Medicare reassignment

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487944286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N HILL ST",
            "city": "AMITY",
            "state": "AR",
            "postal_code": "719219635",
            "telephone_number": "870-342-5606",
            "fax_number": "870-334-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 N HILL ST",
            "city": "AMITY",
            "state": "AR",
            "postal_code": "719219635",
            "telephone_number": "870-342-5606",
            "fax_number": "870-334-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "NICHOLAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSES NUMBER",
            "identifier": "PA433",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim G. Rogers, M.S., CCC-SLP
• Michael Jai Singh, MD
• Samantha Noel Snow
• Tiffany White Counseling, PLLC
• United Methodist Behavioral Health Systems, Inc
• Shawna M White, RN
• Tiffany Elizabeth White, LPC

• Medical Physician Assistant in Amity, AR
• Providers in Amity, AR by specialty
• Medical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.