Individual provider Active NPI

Jane A Weber, CRNP

  • Nurse Practitioner
  • Carlisle Barracks, PA
National Provider Identifier
1760490346
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP003597B Issued in PA
Practice address
450 Gibner Rd
Carlisle Barracks, PA 17013
Phone
(717) 245-4774
Fax
(717) 245-3776
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP003597B PA Primary

Addresses

Primary practice location

450 Gibner Rd
Carlisle Barracks, PA 17013

Mailing address

1542 Inverness Dr
Mechanicsburg, PA 17050-8328
Phone (717) 580-6530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130322000256 PA Order and Referring Only - Nurse Practitioner 6800081183

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1760490346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 INVERNESS DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170508328",
            "telephone_number": "717-580-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GIBNER RD",
            "city": "CARLISLE BARRACKS",
            "state": "PA",
            "postal_code": "17013",
            "telephone_number": "717-245-4774",
            "fax_number": "717-245-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JANE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP003597B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle Barracks, PA

Sources for this page

Verify at the official NPI Registry.