Individual provider Active NPI

Carol Weilacher

  • Family Nurse Practitioner
  • Corry, PA
National Provider Identifier
1750817904
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017447 Issued in PA
Practice address
315 York St
Corry, PA 16407-1412
Phone
(814) 664-8686
Fax
(814) 664-9826
NPI assigned
May 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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 SP017447 PA Primary

Addresses

Primary practice location

315 York St
Corry, PA 16407-1412

Mailing address

315 York St
Corry, PA 16407-1412
Phone (814) 664-8886

Other names 1

  • Carol Maione Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cweilacher247145@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017447PAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: cweilacher247145@direct.ahn.org

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1750817904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 YORK ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071412",
            "telephone_number": "814-664-8886",
            "fax_number": "814-452-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 YORK ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071412",
            "telephone_number": "814-664-8686",
            "fax_number": "814-664-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILACHER",
        "first_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cweilacher247145@direct.ahn.org",
            "affiliation": "N",
            "address_1": "315 York St",
            "city": "Corry",
            "state": "PA",
            "country_code": "US",
            "postal_code": "164071412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "MAIONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corry, PA

Sources for this page

Verify at the official NPI Registry.