MRS. JENNIFER R WEAVER APRN
NPI 1790359701
Nurse Practitioner - Family in North Hampton, OH

Active since May 14, 2021Opted out of Medicare · through Jun 15, 2027
275 W CLARK ST, NORTH HAMPTON, OH 45349(937) 926-1344 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Jennifer R Weaver Aprn NPPES

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

MRS. JENNIFER R WEAVER APRN (NPI 1790359701) is an individual family provider in North Hampton, Ohio, licensed in Ohio (APRN.CNP0028923) and active in the NPI registry since May 2021. She has opted out of Medicare through June 15, 2027.

NPPES Registry Identity

NPI1790359701
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JENNIFER R WEAVERCredential: APRN
Location Address275 W CLARK STNorth Hampton, OH 45349
Mailing Address275 W Clark StNorth Hampton, OH 45349 · (937) 926-1344
Sole ProprietorYes
Enumeration DateMay 14, 2021
NPPES CertifiedApril 21, 2021
NPI 1790359701 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 OH · APRN.CNP0028923
275 W CLARK ST, North Hampton, OH 45349

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Jennifer R Weaver Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 15, 2021 through June 15, 2027.

Opt-Out Effective DateJune 15, 2021
Opt-Out In Effect ThroughJune 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Family Medicine
275 W CLARK ST
NORTH HAMPTON, OH 45349

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 Jennifer Weaver's NPI number?

The NPI number for Jennifer Weaver is 1790359701. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Where is Jennifer Weaver located?

Jennifer Weaver practices at 275 W Clark St, North Hampton, OH 45349. The listed phone number is (937) 926-1344.

What is Jennifer Weaver's specialty?

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

Is Jennifer Weaver enrolled in Medicare?

No. Jennifer Weaver has opted out of Medicare through June 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Weaver was last updated on May 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.