Provider Type Icon

SUSAN WEAVER NPI 1295074094


NPI Information

NPI: 1295074094
Provider Name: SUSAN WEAVER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1723 BROADWAY ST STE 410
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 332-7746
Get Directions

Susan Weaver is a family nurse practitioner in Cape Girardeau, MO with 12 years of experience. Susan Weaver NPI is 1295074094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1723 BROADWAY ST STE 410
CAPE GIRARDEAU, MO
ZIP 63701-556
Phone: (573) 332-7746
Fax: (573) 339-9709

The NPI 1295074094 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of device into intervertebral disc space of spine and fusion of vertebrae (HCPCS:22853)

The enumeration date for this NPI number is 2/14/2013 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner2013002280MISSOURINo
2363LF0000XNurse PractitionerFamily2013002280MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.