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KELLY RAE WEAVER CPNP-PC
NPI 1881318756
Nurse Practitioner - Pediatrics in Shreveport, LA

Active since October 03, 2022PECOS Enrolled
1 SAINT MARY PL, SHREVEPORT, LA 71101(318) 272-3208 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Rae Weaver Cpnp-pc NPPES

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

KELLY RAE WEAVER CPNP-PC (NPI 1881318756) is an individual pediatrics provider in Shreveport, Louisiana, licensed in Louisiana (226455) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881318756
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELLY RAE WEAVERCredential: CPNP-PC
Location Address1 SAINT MARY PLShreveport, LA 71101-4307
Mailing Address1444 Suwannee LnBenton, LA 71006-8805 · (318) 272-3208
Phone(318) 272-3208
Sole ProprietorNo
Enumeration DateOctober 3, 2022
Last NPPES UpdateOctober 4, 2022
NPPES CertifiedOctober 4, 2022
✔ NPI 1881318756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in LA · 226455
1 SAINT MARY PL, Shreveport, LA 71101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Rae Weaver Cpnp-pc 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 71101 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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.

KATIE SHEARER MD
Obstetrics & Gynecology
1 SAINT MARY PL
SHREVEPORT, LA 71101
Caddo Parish (318) 626-4300
MARTHA M WHYTE MD
Pediatrics
1 SAINT MARY PL
SHREVEPORT, LA 71101
Caddo Parish (318) 227-4658
DR. JAMES WILLIAMS MD
Anesthesiology
1 SAINT MARY PL
SHREVEPORT, LA 71101
Caddo Parish (318) 681-4440
COURTNEY TRAHAN LEBLANC RN, CPN
Registered Nurse
1 SAINT MARY PL
SHREVEPORT, LA 71101
Caddo Parish (337) 654-3075
VALIENT EMERGENCY PHYSICIANS, LLC
Emergency Medicine
1 SAINT MARY PL
SHREVEPORT, LA 71101
Caddo Parish (469) 401-2386
LAURA CHRISTINE BROOKS APRN, NNP-BC
Nurse Practitioner (Neonatal)
1 SAINT MARY PL, NICU
SHREVEPORT, LA 71101
Caddo Parish (318) 681-6653
GHASSAN FOUAD HAMDAN RPH
Pharmacist (Oncology)
1 SAINT MARY PL
SHREVEPORT, LA 71101
Caddo Parish (318) 681-4150
PAUL WESLEY CHISM MSN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1 SAINT MARY PL
SHREVEPORT, LA 71101
Caddo Parish (318) 681-4500

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 Kelly Weaver's NPI number?

The NPI number for Kelly Weaver is 1881318756. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Where is Kelly Weaver located?

Kelly Weaver practices at 1 Saint Mary Pl, Shreveport, LA 71101. The listed phone number is (318) 272-3208.

What is Kelly Weaver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelly Weaver enrolled in Medicare?

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

What insurance does Kelly Weaver accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Kelly 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.

When was this NPI record last updated?

The NPPES record for Kelly Weaver was last updated on October 4, 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.