Gabrielle Sheaann Weaver, DMS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10004047A Issued in IN

Practice address

931 E 86TH St Ste 104
Indianapolis, IN 46240-1852

Phone

(317) 257-1484

Fax

(317) 257-1488

NPI assigned

Mar 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elle Weaver Professional name

Medicare fee-for-service enrollment

Enrolled in IN, NC2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beacon Dermatology LLCGroup PAC ID 1850767377, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Beacon Dermatology LLC

  • Dermatology Physician
  • Asheville, NC
  • NPI 1598486565
  Medicare reassignment Care Compare group
• Dermatology Associates, P.C.

  • Specialist
  • Indianapolis, IN
  • NPI 1639483704
  Medicare reassignment

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1881341394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 E 86TH ST STE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401852",
            "telephone_number": "317-257-1484",
            "fax_number": "317-257-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E 86TH ST STE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401852",
            "telephone_number": "317-257-1484",
            "fax_number": "317-257-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "GABRIELLE",
        "middle_name": "SHEAANN",
        "credential": "DMS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004047A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLE",
            "last_name": "WEAVER",
            "credential": "DMS, PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Courtney D Weaver
• David D Weaver, MD
• Emily Kaitlin Weaver, DPT
• Erin Weaver, PSYD, HSPP
• Gabrielle M Weaver
• Greta Weaver, MD
• Hallie Weaver
• Hannah Delight Weaver
• Jakob Weaver, MD
• Jennifer Lynn Weaver

• Physician Assistant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.