Beth Alice Weaver
NORTHRIDGE FAMILY PRACTICE LLC


Address: 3190 N Ridge Dr, Hale, MI 48739
Phone: 9897286000

Beth Alice Weaver (NPI# 1447248703, PAC ID# 0042246837) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1447248703
PAC ID by PECOS 0042246837
Professional Enrollment ID I20050713000340
Full Name Beth Alice Weaver
Organization Legal Name NORTHRIDGE FAMILY PRACTICE LLC
Address 3190 N Ridge Dr
Hale
MI 48739
Phone Number 9897286000
Gender F
Credential NP
Graduation Year 2002
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 9830118702
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230100 TAWAS ST JOSEPH HOSPITAL
230095 WEST BRANCH REGIONAL MEDICAL CENTER
230041 MCLAREN BAY REGION
231305 SAINT MARY'S STANDISH COMMUNITY HOSPITAL

Other Locations

Address Phone Organization
3190 N Ridge Dr, Hale, MI 48739 9897286000 NORTHRIDGE FAMILY PRACTICE LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 98%
ACI_EC_TRANS_HIE_1 Health Information Exchange 31%
ACI_EC_TRANS_MR_1 Medication Reconciliation 87%
ACI_EC_TRANS_PEA_1 Provide Patient Access 91%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 9%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_2 Syndromic Surveillance Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 31%
ACI_EC_TRANS_SM_1 Secure Messaging 12%

Organization Information

Organization Legal Name NORTHRIDGE FAMILY PRACTICE LLC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Amanda Loraine Breault Nurse Practitioner Northridge Family Practice LLC 3190 N Ridge Dr, Hale, MI 48739
Debra Kaye Provoast Nurse Practitioner Northridge Family Practice LLC 3190 N Ridge Dr, Hale, MI 48739

Office Location

Street Address 3190 N RIDGE DR
City HALE
State MI
Zip 48739

Physicians in the same location

Name Specialty Organization Address
Amanda Loraine Breault Nurse Practitioner Northridge Family Practice LLC 3190 N Ridge Dr, Hale, MI 48739
Debra Kaye Provoast Nurse Practitioner Northridge Family Practice LLC 3190 N Ridge Dr, Hale, MI 48739

Physicians in the same zip code

Name Specialty Organization Address
Shannon Kay Chrivia Chiropractic 3141 M, Suite 65, Hale, MI 48739-8512
Shannon M Michaud Nurse Practitioner Ascension St Joseph Hospital 116 S Church St, Ascension St Joseph Hospital Hale M, Hale, MI 48739-9272

Competitor

Search similar physicians

City HALE
Zip Code 48739
Specialty NURSE PRACTITIONER
City + Specialty HALE + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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