JEREMY MICHAEL WEAVER RN,APNP
NPI 1811623549
Nurse Practitioner - Family in Green Bay, WI

Q: What is Jeremy Weaver's NPI number?

The NPI number for Jeremy Weaver is 1811623549. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Q: What is Jeremy 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 Jeremy Weaver was last updated on September 2, 2022. 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.

Active since July 26, 2022PECOS EnrolledAccepts Medicare Assignment

923 ELIZA ST, GREEN BAY, WI 54301(920) 965-4800(920) 965-4801 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2022, Jul 26, 2022 (2 updates tracked since 2022).

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About Jeremy Michael Weaver Rn,apnp NPPES

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

JEREMY MICHAEL WEAVER RN,APNP (NPI 1811623549) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (13109-33) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811623549

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJEREMY MICHAEL WEAVERCredential: RN,APNP

Location Address923 ELIZA STGreen Bay, WI 54301-3234

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7210 · Fax (920) 445-7289

Phone(920) 965-4800

Fax(920) 965-4801

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 26, 2022

Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2022

✔ NPI 1811623549 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 WI · 13109-33

923 ELIZA ST, Green Bay, WI 54301

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Secondary Practice Locations 2

Location 12820 Roosevelt RdMarinette, WI 54143-3834 · Phone (715) 735-5225 · Fax (715) 735-5388

Location 23415 Custer St Ste DManitowoc, WI 54220-4328 · Phone (920) 652-9310 · Fax (920) 652-9316

Other Identifiers 1

OtherF07220382American Academy Nurse Practitioners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Jeremy Michael Weaver Rn,apnp 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 ID1658756200

PECOS Enrollment IDI20220916002905

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

54 services45 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

30 services23 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

25 services16 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

20 services11 patients

Hospital Affiliations CMS Care Compare

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520049

Location744 S Webster AveGreen Bay, WI 54305 · Brown County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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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.

MR. CRISTIAN A VASILIEV FNP

Nurse Practitioner (Family)