Kylee Marie Weaver, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lewistown, Illinois. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Graham Hospital Association and her current practice location is
408 S Main St, Lewistown, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 547-9700.
Kylee Marie Weaver is licensed to practice in Illinois (license number 209.000000) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639962210.
Provider's Profile
| Full Name | Kylee Marie Weaver |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 408 S Main St, Lewistown, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kylee Marie Weaver graduated from nursing school in 2025
NPI Data:
- NPI Number: 1639962210
- Provider Enumeration Date: 05/27/2025
- Last Update Date: 05/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 5395104616
- Enrollment ID: I20260316000614
Medical Identifiers
Medical identifiers for Kylee Marie Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639962210 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209.000000 (Illinois) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Graham Hospital Association | Canton, IL | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Graham Hospital Association | 2769375021 | 124 |
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. Kylee Marie Weaver allows following entities to bill medicare on her behalf.
| Entity Name | Graham Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780692087
PECOS PAC ID: 2769375021
Enrollment ID: O20040510000873 |
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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. Kylee Marie 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 Address | Practice Location Address |
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Kylee Marie Weaver, FNP
408 S Main St,
Lewistown, IL 61542-1563
Ph: (309) 547-9700 | Kylee Marie Weaver, FNP
408 S Main St,
Lewistown, IL 61542-1563
Ph: (309) 547-9700 |
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