MRS. BEVERLY P. WEAVER RN, MSN, FNP-BC
NPI 1831140508
Nurse Practitioner in Southaven, MS

Q: What is Beverly Weaver's NPI number?

The NPI number for Beverly Weaver is 1831140508. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is Beverly Weaver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Beverly Weaver was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 May 15, 2006PECOS Enrolled

3451 GOODMAN RD E, STE 115, SOUTHAVEN, MS 38672(662) 890-5555(662) 890-8899 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Beverly P. Weaver Rn, Msn, Fnp-bc NPPES

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

MRS. BEVERLY P. WEAVER RN, MSN, FNP-BC (NPI 1831140508) is an individual nurse practitioner in Southaven, Mississippi, licensed in Mississippi (R629189) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Horn Lake.

NPPES Registry Identity

NPI1831140508

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. BEVERLY P. WEAVERCredential: RN, MSN, FNP-BC

Location Address3451 GOODMAN RD E, STE 115Southaven, MS 38672-9303

Mailing Address2085 Goodman Rd WHorn Lake, MS 38637-1416 · (662) 429-4988 · Fax (662) 429-4966

Phone(662) 890-5555

Fax(662) 890-8899

Sole ProprietorNo

Enumeration DateMay 15, 2006

Last NPPES UpdateJune 16, 2025

NPPES CertifiedJune 16, 2025

✔ NPI 1831140508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MS · R629189

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R629189 (MS)

3451 GOODMAN RD E, Southaven, MS 38672

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Secondary Practice Location 1

Location 12085 Goodman Rd WHorn Lake, MS 38637-1416 · Phone (662) 280-7455

Other Identifiers 1

Medicaid00122952MS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Beverly P. Weaver Rn, Msn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 38672 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers25 claims50 services$5.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

AGILITAS USA INC.

Clinic/Center (Physical Therapy)

3451 GOODMAN RD E, SUITE 108
SOUTHAVEN, MS 38672

Desoto County (662) 253-9060

DR. TERESA L FRITTS MD

Pediatrics

3451 GOODMAN RD E, SUITE 115
SOUTHAVEN, MS 38672

Desoto County (662) 890-5555

AGILITAS USA, INC

Clinic/Center (Physical Therapy)

3451 GOODMAN RD E, STE 110
SOUTHAVEN, MS 38672

Desoto County (662) 892-5020

BROOKE E. SCHUPPAN

Physical Therapist

3451 GOODMAN RD E, SUITE 108
SOUTHAVEN, MS 38672

Desoto County (662) 253-9060

NICOLE LYNN PAYNE CFNP

Nurse Practitioner (Family)

3451 GOODMAN RD E, SUITE 115
SOUTHAVEN, MS 38672

Desoto County (662) 890-5555

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 Beverly Weaver's NPI number?

The NPI number for Beverly Weaver is 1831140508. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Beverly Weaver located?

Beverly Weaver practices at 3451 Goodman Rd E Ste 115, Southaven, MS 38672. The listed phone number is (662) 890-5555.

What is Beverly Weaver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Beverly Weaver enrolled in Medicare?

Yes. Beverly Weaver is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Beverly Weaver was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.