Individual provider Active NPI

Krystal Elizabeth Weaver, PA-C

  • Physician Assistant
  • Morristown, TN
National Provider Identifier
1992152144
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3043 Issued in TN
Practice address
231 S Fairmont Ave
Morristown, TN 37813-2036
Phone
(423) 839-1600
Fax
(423) 839-1602
NPI assigned
May 18, 2016
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3043 TN Primary

Addresses

Primary practice location

231 S Fairmont Ave
Morristown, TN 37813-2036

Mailing address

231 S Fairmont Ave
Morristown, TN 37813-2036
Phone (423) 839-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160902001469 TN Practitioner - Physician Assistant 7719273523 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Morristown, TN

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weaver MedicalGroup PAC ID 0143666115, 3 clinicians

Practice addresses (Care Compare)

231 S Fairmont Ave
Morristown, TN 37813-2036
Phone (423) 839-1600

3614 W Andrew Johnson Hwy
Morristown, TN 37814-3602
Phone (423) 586-9495

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3043TNMDProfessional Counselor
PA3043TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Leave It to Weaver Medical CurrentSince Feb 1, 2022 Accepting new patients
Bean Station Family Medicine, PC Past Accepting new patients

Locations

231 S Fairmont Ave
Morristown, TN 37813
Phone (423) 587-3480

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1992152144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 S FAIRMONT AVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132036",
            "telephone_number": "423-839-1600",
            "fax_number": "423-839-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S FAIRMONT AVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132036",
            "telephone_number": "423-839-1600",
            "fax_number": "423-839-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KRYSTAL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA3043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.