Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy Michael Weaver, RN, APNP

Individual provider Family Nurse Practitioner · NPI 1811623549

Jeremy Michael Weaver, RN, APNP is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2022, 4 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

923 Eliza St
Green Bay, WI 54301-3234
Phone: (920) 965-4800
Fax: (920) 965-4801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3415 Custer St Ste D, Manitowoc, WI 54220-4328 — (920) 652-9310
  • 2820 Roosevelt Rd, Marinette, WI 54143-3834 — (715) 735-5225

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 13109-33 (WI)

Record details

NPI number1811623549
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , APNP
Sole proprietorNo
NPI enumeratedJuly 26, 2022
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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