Individual provider Active NPI

Brian Keith Weikert, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Gahanna, OH
National Provider Identifier
1801448188
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.025118 Issued in OH
Practice address
140 Mill St Ste B
Gahanna, OH 43230-6509
Phone
(614) 284-4114
Fax
(614) 245-4389
NPI assigned
Jul 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.025118 OH Primary

Addresses

Primary practice location

140 Mill St Ste B
Gahanna, OH 43230-6509

Mailing address

PO Box 175
New Albany, OH 43054-0175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190809001748 OH Practitioner - Nurse Practitioner 9436486685 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025118OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McKibben Enterprises, LLC CurrentSince Jul 1, 2024 Accepting new patients
Health First Medical Center PastSince Mar 20, 2019 Accepting new patients

Locations

193 W Schrock Rd
Westerville, OH 43081
Phone (614) 325-5355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1801448188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430540175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MILL ST STE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306509",
            "telephone_number": "614-284-4114",
            "fax_number": "614-245-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIKERT",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.025118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.