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KYLEE MARIE WEAVER FNP
NPI 1639962210
Nurse Practitioner - Family in Lewistown, IL

Active since May 27, 2025PECOS EnrolledAccepts Medicare Assignment
408 S MAIN ST, LEWISTOWN, IL 61542(309) 547-9700 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 13, 2026, May 29, 2025 (2 updates tracked since 2025).

About Kylee Marie Weaver Fnp NPPES

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

KYLEE MARIE WEAVER FNP (NPI 1639962210) is an individual family provider in Lewistown, Illinois, licensed in Illinois (209.000000) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639962210
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKYLEE MARIE WEAVERCredential: FNP
Location Address408 S MAIN STLewistown, IL 61542-1563
Mailing Address408 S Main StLewistown, IL 61542-1563 · (309) 547-9700
Phone(309) 547-9700
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 27, 2025
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1639962210 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 IL · 209.000000
408 S MAIN ST, Lewistown, IL 61542
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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 and accepts Medicare assignment

Kylee Marie Weaver Fnp 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 ID5395104616
PECOS Enrollment IDI20260316000614
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 61542 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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

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

GRETCHEN WAYNE FAWCETT PA-C
Physician Assistant
408 S MAIN ST
LEWISTOWN, IL 61542
Fulton County (309) 547-9700

Frequently Asked Questions

What is Kylee Weaver's NPI number?

The NPI number assigned to this healthcare provider is 1639962210, enumerated as an "individual" on May 27, 2025.

Where is the provider located?

The provider is located at 408 S MAIN ST LEWISTOWN, IL 61542 and the phone number is (309) 547-9700.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.