JACQUELINE WEAVER CRNP
NPI 1336560879
Nurse Practitioner - Family in Lancaster, PA

Q: What is Jacqueline Weaver's NPI number?

The NPI number for Jacqueline Weaver is 1336560879. It was assigned to this individual provider in the NPPES registry on December 31, 2013.

Q: What is Jacqueline 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 Jacqueline Weaver was last updated on December 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 December 31, 2013PECOS EnrolledAccepts Medicare Assignment

555 N DUKE ST, LANCASTER, PA 17602(717) 544-5681(717) 544-4665 Get Directions Write a Review

NPPES record last updated: December 31, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jacqueline Weaver Crnp NPPES

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

JACQUELINE WEAVER CRNP (NPI 1336560879) is an individual family provider in Lancaster, Pennsylvania, licensed in Pennsylvania (SP013488) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1336560879

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELINE WEAVERCredential: CRNP

Location Address555 N DUKE STLancaster, PA 17602-2250

Mailing Address555 N Duke StLancaster, PA 17602-2250 · (717) 544-5681 · Fax (717) 544-4665

Phone(717) 544-5681

Fax(717) 544-4665

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 31, 2013

✔ NPI 1336560879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP013488

555 N DUKE ST, Lancaster, PA 17602

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Weaver Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820229214

PECOS Enrollment IDI20140328000136

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

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

Lancaster General Medical Group

Same address

Neurology

555 N DUKE ST, NEUROSCIENCE SERVICE LINE ADMINISTRATION
Lancaster, PA 17602

Reassigned Medicare billing, Pennsylvania enrollment
727 clinicians in this Medicare group

NPI 1790158236 (717) 396-9167

Lancaster General Hospital

Same address

Psychologist

540 N DUKE ST, 3RD FLOOR
Lancaster, PA 17602

Reassigned Medicare billing, Pennsylvania enrollment
215 clinicians in this Medicare group

NPI 1154418358 (717) 544-4950

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 17602 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 20

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

TYLER JOHNSTON MD

Family Medicine