MS. KELLY ANN WEAVER (RN, MSN, FNP, ARNP-C) – Family Nurse Practitioner, NPI 1821115015

MS. KELLY ANN WEAVER (RN, MSN, FNP, ARNP-C) is a healthcare provider. based in Jupiter, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, MSN, FNP, ARNP-C. They hold a License No. 413453 (NY). The NPI Number for MS. KELLY ANN WEAVER (RN, MSN, FNP, ARNP-C) is 1821115015

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MS. KELLY ANN WEAVER (RN, MSN, FNP, ARNP-C)
NPI
1821115015
Phone
(561) 979-2001
Address
210 Jupiter Lakes Blvd Ste 202
Enumeration Date
23 March 2007
Last Update Date
13 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5616269041
Graduation Year
1994 (32 years ago)
PAC ID
4981753159
Group Practice PAC ID
5092810069
Professional Enrollment ID
I20170222002879
Address ID
FL334584831JU4600XTRLX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MS. KELLY ANN WEAVER (RN, MSN, FNP, ARNP-C)

  • 210 Jupiter Lakes Blvd Ste 202

    Jupiter, FL 334587188

    Phone: (561) 979-2001

    Fax: (561) 462-0852

    Type: Location

  • 13660 JOG ROAD SUITE 2

    DELRAY BEACH, FL 334463806

    Phone: (561) 600-2408

    Fax: (561) 600-2414

    Type: Mailing

  • 2151 S ALT A1A STE 425

    JUPITER, FL 334774070

    Phone: (561) 979-2001

    Fax: (561) 462-0852

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 90 Open Payments records for all available years, with a total value of $1,810.

Total Amount is formed as General ($1,810) + Research ($0) + Ownership ($0) = $1,810.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Novo Nordisk Inc ($425).

Total Amount

$1,810

General + Research + Ownership

Payments

90

Total payment records

General Amount

$1,810

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170222002879INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33458)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092810069View full group profile
NameSpecialtyState
E N D O C R I N O L O G YFL
E N D O C R I N O L O G YFL
-FL
Physician AssistantFL
E N D O C R I N O L O G YNY
E N D O C R I N O L O G YFL
E N D O C R I N O L O G YFL
E N D O C R I N O L O G YFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I verify MS. KELLY ANN WEAVER (RN, MSN, FNP, ARNP-C) with an NPI only?
You can start verification with NPI 1821115015 for MS. KELLY ANN WEAVER (RN, MSN, FNP, ARNP-C), then check state licensing separately.
Can I rely on MS. KELLY ANN WEAVER (RN, MSN, FNP, ARNP-C) being an active provider?
As of the registry snapshot, MS. KELLY ANN WEAVER (RN, MSN, FNP, ARNP-C) is marked active.
What is MS. KELLY ANN WEAVER (RN, MSN, FNP, ARNP-C) best known for clinically?
Directory data describes MS. KELLY ANN WEAVER (RN, MSN, FNP, ARNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MS. KELLY ANN WEAVER (RN, MSN, FNP, ARNP-C) list a practice location?
Patients near Jupiter, Florida may find MS. KELLY ANN WEAVER (RN, MSN, FNP, ARNP-C) in results; validate coverage separately.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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