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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Susan Weaver reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pappas Chiropractic Health Center, P.C.
6.2 mi
General Practice
3130 E. JACKSON BLVD.
Jackson, MO 63755
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Pappas Chiropractic Health Center PC
  • 6 clinicians in this Medicare group
NPI 1336253574 (573) 243-5095
Southeastern Emergency Services Of Memphis, P.C.
284 mi
Emergency Medicine
910 BLACKFORD ST
Chattanooga, TN 37403
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Southeastern Emergency Services Of Memphis PC
  • 89 clinicians in this Medicare group
NPI 1164454450 (865) 693-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
1723 BROADWAY ST STE 410
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 332-7746
KYLEE S JONES NP-C
Nurse Practitioner (Family)
1723 BROADWAY ST STE 410
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 332-7746
LOGAN SPRANDEL PA
Physician Assistant
1723 BROADWAY ST STE 410
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 332-7746
COLE WESTON ROSS
Nurse Practitioner (Family)
1723 BROADWAY ST STE 410
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 332-7746
DR. GINA MONACO M.D., PH.D.
Neurological Surgery
1723 BROADWAY ST STE 410
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 332-7746
KRISTI DAWN SKINNER MSN, APRN, ACNS-BC
Clinical Nurse Specialist (Adult Health)
1723 BROADWAY ST STE 410
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 339-1957

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Susan Weaver located?

Susan Weaver practices at 1723 Broadway St Ste 410, Cape Girardeau, MO 63701. The listed phone number is (573) 332-7746.

What is Susan Weaver's specialty?

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

Is Susan Weaver enrolled in Medicare?

Yes. Susan Weaver is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susan Weaver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Weaver reassigns Medicare benefits to 2 organizations: Pappas Chiropractic Health Center, P.C. (Jackson, MO) and Southeastern Emergency Services Of Memphis, P.C. (Chattanooga, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Weaver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.