Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Weaver

Individual provider Mental Health Counselor · NPI 1649521170

Jonathan Weaver is a Nurse Practitioner in Reno, Nevada. Qualified in 2024, 2 years ago. Practices with Saint Marys Medical Group Inc, a 52-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
2
Licensed in
NV
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

343 Elm St Ste 401
Reno, NV 89503-4541
Phone: (775) 470-6651
Fax: (775) 622-0788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 620 E Plumb Ln Ste 100, Reno, NV 89502-3562 — (775) 825-3043

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 885460 (NV)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1649521170
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 24, 2012
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Saint Marys Medical Group Inc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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