EKATERINA SUE WEAVER NP
NPI 1861269110
Nurse Practitioner - Family in Mishawaka, IN

Active since December 07, 2023PECOS EnrolledAccepts Medicare Assignment
60101 BODNAR BLVD STE 100B, MISHAWAKA, IN 46544(574) 335-8500(574) 335-0794 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ekaterina Sue Weaver Np NPPES

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

EKATERINA SUE WEAVER NP (NPI 1861269110) is an individual family provider in Mishawaka, Indiana, licensed in Indiana (28243181A) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1861269110
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEKATERINA SUE WEAVERCredential: NP
Location Address60101 BODNAR BLVD STE 100BMishawaka, IN 46544-9340
Mailing Address707 Cedar St Ste 405South Bend, IN 46617-2059
Fax(574) 335-0794
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 7, 2023
Last NPPES UpdateJanuary 26, 2024
NPPES CertifiedJanuary 26, 2024
NPI 1861269110 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 IN · 28243181A
60101 BODNAR BLVD STE 100B, Mishawaka, IN 46544

Accepted 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

Ekaterina Sue Weaver Np 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 ID9436593530
PECOS Enrollment IDI20240216001575
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 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
91 services57 patients
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.
37 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
19 services11 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150076
Location1915 Lake AvePlymouth, IN 46563 · Marshall County
Emergency services

Community Hospital Of Bremen Inc

Critical Access Hospitals · Bremen, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151300
Location1020 High RdBremen, IN 46506 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46544 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 5

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

Community Health Worker
60101 BODNAR BLVD STE 100B
MISHAWAKA, IN 46544
Nurse Practitioner (Family)
60101 BODNAR BLVD STE 100B
MISHAWAKA, IN 46544
Pharmacist (Ambulatory Care)
60101 BODNAR BLVD STE 100B, SAINT JOSEPH FAMILY MEDICINE AT ELM ROAD
MISHAWAKA, IN 46544
Family Medicine
60101 BODNAR BLVD STE 100B
MISHAWAKA, IN 46544
Nurse Practitioner (Family)
60101 BODNAR BLVD STE 100B
MISHAWAKA, IN 46544

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 Ekaterina Weaver's NPI number?

The NPI number for Ekaterina Weaver is 1861269110. It was assigned to this individual provider in the NPPES registry on December 7, 2023.

Where is Ekaterina Weaver located?

Ekaterina Weaver practices at 60101 Bodnar Blvd Ste 100B, Mishawaka, IN 46544. The listed phone number is (574) 335-8500.

What is Ekaterina Weaver's specialty?

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

Is Ekaterina Weaver enrolled in Medicare?

Yes. Ekaterina 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 Ekaterina Weaver accept?

Health plans from CareSource list Ekaterina 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 Ekaterina Weaver affiliated with any hospitals?

According to CMS data, Ekaterina Weaver is affiliated with Saint Joseph Regional Medical Center, Saint Joseph Regional Medical Center - Plymouth and Community Hospital Of Bremen Inc.

When was this NPI record last updated?

The NPPES record for Ekaterina Weaver was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.