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JAVLYN DICKSON WEAVER PA
NPI 1528774932
Physician Assistant in Mountain Home, ID

Active since January 30, 2023PECOS EnrolledAccepts Medicare Assignment
895 N 6TH E, MOUNTAIN HOME, ID 83647(208) 587-8401 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Javlyn Dickson Weaver Pa NPPES

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

JAVLYN DICKSON WEAVER PA (NPI 1528774932) is an individual physician assistant in Mountain Home, Idaho, licensed in Utah (12989329-1206) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1528774932
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJAVLYN DICKSON WEAVERCredential: PA
Location Address895 N 6TH EMountain Home, ID 83647-2207
Mailing Address780 S 2075 WCedar City, UT 84720-1921 · (435) 463-5285
Phone(208) 587-8401
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 30, 2023
NPPES CertifiedJanuary 28, 2023
✔ NPI 1528774932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 12989329-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
895 N 6TH E, Mountain Home, ID 83647
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Javlyn Dickson Weaver Pa 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 ID2860859352
PECOS Enrollment IDI20230526000426
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Elmore Medical Center

Critical Access Hospitals · Mountain Home, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131311
Location895 North 6th EastMountain Home, ID 83647 · Elmore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83647 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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.

ELMORE MEDICAL CENTER
General Acute Care Hospital (Critical Access)
895 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-8401
SHELBY RAE LUNDAY OTR
Occupational Therapist (Physical Rehabilitation)
895 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (972) 762-9964
ELMORE MEDICAL CENTER HOSPITAL DISTRICT
Skilled Nursing Facility
895 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-8401
LENDER ALGER
Pharmacist
895 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-0568
ST LUKES REGIONAL MEDICAL CENTER
Pharmacy (Long Term Care Pharmacy)
895 N 6TH E
MTN HOME, ID 83647
Elmore County (208) 587-8401
ELMORE MEDICAL CENTER LTC
Nursing Facility/Intermediate Care Facility
895 N 6TH E
MTN HOME, ID 83647
Elmore County (208) 580-2661
ST LUKES REGIONAL MEDICAL CENTER
Emergency Medicine
895 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-8401
REGINA UGRINSKY PT, DPT
Specialist
895 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (919) 757-3759

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 Javlyn Weaver's NPI number?

The NPI number for Javlyn Weaver is 1528774932. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Where is Javlyn Weaver located?

Javlyn Weaver practices at 895 N 6th E, Mountain Home, ID 83647. The listed phone number is (208) 587-8401.

What is Javlyn Weaver's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Javlyn Weaver enrolled in Medicare?

Yes. Javlyn Weaver is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Javlyn Weaver accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Javlyn Weaver as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Javlyn Weaver affiliated with any hospitals?

According to CMS data, Javlyn Weaver is affiliated with St Luke's Regional Medical Center and St Luke's Elmore Medical Center.

When was this NPI record last updated?

The NPPES record for Javlyn Weaver was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.