Individual provider Active NPI

Andrew Curtis Weaver, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Casper, WY
National Provider Identifier
1548045255
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
46776 Issued in WY
Practice address
2521 E 15TH St
Casper, WY 82609-4126
Phone
(307) 237-7444
NPI assigned
Aug 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 46776 WY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 46776 WY Primary

Addresses

Primary practice location

2521 E 15TH St
Casper, WY 82609-4126

Mailing address

2521 E 15TH St
Casper, WY 82609-4126
Phone (307) 237-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20241115002386 WY Practitioner - Nurse Practitioner 4789118563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs of Wyoming, IncGroup PAC ID 9830111442, 11 clinicians

Practice addresses (Care Compare)

2521 E 15TH St
Casper, WY 82609-4126
Phone (307) 237-7444

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Behavioral Institute CurrentSince Sep 2, 2024 Accepting new patients

Locations

4041 S Poplar St
Casper, WY 82601
Phone (307) 237-7444

2521 E 15th St
Casper, WY 82609
Phone (307) 237-7444

Organizations & group practices 1

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": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1548045255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 E 15TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094126",
            "telephone_number": "307-237-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 E 15TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094126",
            "telephone_number": "307-237-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ANDREW",
        "middle_name": "CURTIS",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-30",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "46776",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "46776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.