ELIZABETH DALE WEAVER (CNS) – Gerontology Clinical Nurse Specialist, NPI 1629580618

ELIZABETH DALE WEAVER (CNS) is a healthcare provider. based in Columbus, Ohio. specializing in Gerontology Clinical Nurse Specialist. They hold the professional credentials CNS. They hold a License No. APRN.CNS.019313 (OH). The NPI Number for ELIZABETH DALE WEAVER (CNS) is 1629580618

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH DALE WEAVER (CNS)
NPI
1629580618
Phone
(614) 566-5456
Address
3595 Olentangy River Rd
Enumeration Date
30 October 2017
Last Update Date
25 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6145665456
Graduation Year
2016 (10 years ago)
PAC ID
1153669387
Group Practice PAC ID
6305758426
Professional Enrollment ID
I20190214000654

Contacts

Secure Messaging
eweaver12409@direct.ohiohealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

Provider Addresses for ELIZABETH DALE WEAVER (CNS)

  • 3595 Olentangy River Rd

    Columbus, OH 432143440

    Phone: (614) 566-5456

    Fax: (614) 566-6902

    Type: Location

  • OhioHealth Bing Cancer Center, 500, Thomas Lane, Olentangy West, Columbus, Sharon, Franklin, Ohio, 43214, United States

    COLUMBUS, OH 432143902

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $9,367.

Total Amount is formed as General ($9,367) + Research ($0) + Ownership ($0) = $9,367.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($9,163).

Total Amount

$9,367

General + Research + Ownership

Payments

5

Total payment records

General Amount

$9,367

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2019-02-14

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
I20190214000654ICertified Clinical Nurse Specialist (Cns)OHTBD

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 43214)

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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: 6305758426View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Internal Medicine, Family Practice, UrologyOH
Physician AssistantOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YMN
General PracticeOH
-OH
Nurse PractitionerOH
Physician AssistantOH

Reviews

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Frequently asked questions

What unique ID ties claims to ELIZABETH DALE WEAVER (CNS)?
NPI 1629580618 is assigned to ELIZABETH DALE WEAVER (CNS) under the national enumeration system.
Does this profile mean ELIZABETH DALE WEAVER (CNS) is currently active?
Yes — ELIZABETH DALE WEAVER (CNS) appears active in the national provider directory.
What kind of provider is ELIZABETH DALE WEAVER (CNS)?
The page reflects Gerontology Clinical Nurse Specialist for ELIZABETH DALE WEAVER (CNS). Clinical services aligned with this taxonomy classification.
What location shows for ELIZABETH DALE WEAVER (CNS)?
We surface Columbus, Ohio for ELIZABETH DALE WEAVER (CNS) based on available NPPES addresses.
Is ELIZABETH DALE WEAVER (CNS) a real provider?
This page reflects official NPPES data for NPI 1629580618. Always confirm identity and privileges with the practice and licensing boards.

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