Active NPI
Andrew Wilson Weaver, FNP
- Family Nurse Practitioner
- Wilmington, NC
National Provider Identifier
1780627315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201330
- Practice address
- 7010 Market St
Wilmington, NC 28411-9728 - Phone
- (910) 686-1099
- Fax
- (910) 686-9595
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201330 | NC | Primary |
Addresses
Primary practice location
7010 Market St
Wilmington, NC 28411-9728
Mailing address
2222 S 17TH St
Wilmington, NC 28401-7515
Phone (910) 343-8209
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201330 | Other | NC | NC MEDICAL LIC. NO. |
| 145149 | Other | NC | NC RN LIC. NO. |
| 0350072 | Other | NC | ANCC CERTIFICATION NO. |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elderhaus, Inc | Past | Accepting new patients |
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.
-
- PACE Provider Organization
- Wilmington, NC
- NPI 1699983312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780627315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017515",
"telephone_number": "910-343-8209",
"fax_number": "910-343-6377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7010 MARKET ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284119728",
"telephone_number": "910-686-1099",
"fax_number": "910-686-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "ANDREW",
"middle_name": "WILSON",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "201330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAL LIC. NO.",
"identifier": "201330",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC RN LIC. NO.",
"identifier": "145149",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC CERTIFICATION NO.",
"identifier": "0350072",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.