SUSAN WEAVER
NPI 1295074094
Nurse Practitioner - Family in Cape Girardeau, MO

Q: What is Susan Weaver's NPI number?

The NPI number for Susan Weaver is 1295074094. It was assigned to this individual provider in the NPPES registry on February 14, 2013.

Q: What is Susan Weaver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Weaver was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 14, 2013PECOS Enrolled

1723 BROADWAY ST STE 410, CAPE GIRARDEAU, MO 63701(573) 332-7746(573) 339-9709 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 21, 2017, Jan 24, 2017 (3 updates tracked since 2017).

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About Susan Weaver NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN WEAVER (NPI 1295074094) is an individual family provider in Cape Girardeau, Missouri, licensed in Missouri (2013002280) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295074094

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSAN WEAVER

Location Address1723 BROADWAY ST STE 410Cape Girardeau, MO 63701-4556

Mailing Address1723 Broadway St Ste 410Cape Girardeau, MO 63701-4556 · (573) 332-7746 · Fax (573) 339-9709

Phone(573) 332-7746

Fax(573) 339-9709

Sole ProprietorNo

Enumeration DateFebruary 14, 2013

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1295074094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2013002280

Also ListedNurse PractitionerTaxonomy 363L00000X · License 2013002280 (MO)

1723 BROADWAY ST STE 410, Cape Girardeau, MO 63701

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Weaver is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JASON LYNN BOWERS PA-C

Physician Assistant