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

Kelly Anne Weaver

Individual provider Women's Health Nurse Practitioner · NPI 1235657552

Kelly Anne Weaver is a Nurse Practitioner in North Port, Florida. Qualified in 2017, 9 years ago. Practices with Florida Hospital Physician Group Inc, a 932-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017

Practice location Address checks out

18659 Tamiami Trl
North Port, FL 34287-7388
Phone: (941) 423-5035
Fax: (941) 423-5034
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1012 N Mills Ave, Arcadia, FL 34266-8811 — (863) 494-2663

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence APRN9263549 (FL)

Record details

NPI number1235657552
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 7, 2017
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Florida Hospital Physician Group Inc — 932 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare