Mrs Traci Nicole Weaver, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fowlerville, MI

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Mrs Traci Nicole Weaver, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fowlerville, Michigan. Her current practice location is 11250 Heidi Jane Ln, Fowlerville, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 294-7553.

Mrs Traci Nicole Weaver is licensed to practice in Michigan (license number 4704272016) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790368157.

Contact Information

Mrs Traci Nicole Weaver, CRNA
11250 Heidi Jane Ln,
Fowlerville, MI 48836-8704
(517) 294-7553
Not Available

Map and Direction




Provider's Profile

Full NameMrs Traci Nicole Weaver
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location11250 Heidi Jane Ln, Fowlerville, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790368157
  • Provider Enumeration Date: 05/04/2021
  • Last Update Date: 09/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062868458
  • Enrollment ID: I20231020001267

Medical Identifiers

Medical identifiers for Mrs Traci Nicole Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790368157NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704272016 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Traci Nicole Weaver allows following entities to bill medicare on her behalf.
Entity NameEdward W Sparrow Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366498107
PECOS PAC ID: 6709799166
Enrollment ID: O20040311001138

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Traci Nicole Weaver is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Traci Nicole Weaver, CRNA
11250 Heidi Jane Ln,
Fowlerville, MI 48836-8704

Ph: (517) 294-7553		Mrs Traci Nicole Weaver, CRNA
11250 Heidi Jane Ln,
Fowlerville, MI 48836-8704

Ph: (517) 294-7553

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fowlerville, MI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.