Individual provider Active NPI

John P Beavers, NP

  • Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1003066143
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704234332 Issued in MI
Practice address
1401 Jefferson Hwy
New Orleans, LA 70121-2426
Phone
(504) 842-4747
NPI assigned
Sep 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704234332 MI Primary
Emergency Medicine Physician 207P00000X 4704234332 MI

Addresses

Primary practice location

1401 Jefferson Hwy
New Orleans, LA 70121-2426

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2483
Phone (504) 842-3000

Other practice location 1

1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 851-1405

Other practice location 2

30 Maryland Plz
Saint Louis, MO 63108-1556
Phone (314) 720-5858

Other identifiers 2

IdentifierTypeStateIssuer
1003066143MedicaidMI
500C961050OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MD, MN, NC, LA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20081213000098 MI Practitioner - Nurse Practitioner 9638230311 Reassigns benefits to 2 organizations
I20231010003147 MD Practitioner - Nurse Practitioner 9638230311 Reassigns benefits to 1 organization
I20231121002618 MN Practitioner - Nurse Practitioner 9638230311 Reassigns benefits to 1 organization
I20241003000385 NC Practitioner - Nurse Practitioner 9638230311 Reassigns benefits to 1 organization
I20241213000676 LA Practitioner - Nurse Practitioner 9638230311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704234332MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Oct 28, 2024 Accepting new patients
Centracare Clinic Current Accepting new patients
Allina Health System CurrentSince Dec 12, 2023 Accepting new patients
Carolinas Physicians Network, Inc CurrentSince Aug 19, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 19, 2024 Accepting new patients
Allina Health System CurrentSince Dec 12, 2023 Accepting new patients
Specialized Family Chiropractic PC CurrentSince Mar 20, 2016 Accepting new patients
Vitality Group Inc CurrentSince Mar 1, 2017 Accepting new patients
Central Washington Health Services Association CurrentSince Sep 1, 2024 Accepting new patients
Wellspan Medical Group Nurse Practitioner Current Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Allina Health System Current Accepting new patients
Ucm Medical Group Sub, LLC Nurse Practitioner CurrentSince Nov 8, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Oct 6, 2023 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 28, 2024 Accepting new patients
Vitality Healthcare PC Nurse Practitioner CurrentSince Mar 20, 2016 Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients
Rehab Specialists, LLC PastSince May 1, 2016 Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Ozark Tri-County Health Care Consortium Past Accepting new patients
Advanced Veins and Vascular Management PLC PastSince Feb 1, 2020 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

1401 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-4747

1514 Jefferson Hwy
New Orleans, LA 70121

52 Water St
Thurmont, MD 21788
Phone (301) 271-3535

917 W Milham Ave
Portage, MI 49024
Phone (269) 567-9806

5717 Oakland Dr
Ste A
Portage, MI 49024
Phone (269) 218-2443

5717 Oakland Dr
Portage, MI 49024
Phone (269) 323-4473

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIBIBD
  • Direct secure messaging: john.beavers.1@25598.direct.athenahealth.com

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1003066143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212483",
            "telephone_number": "504-842-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212426",
            "telephone_number": "504-842-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174042244",
            "country_code": "US",
            "telephone_number": "717-851-1405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Maryland Plz",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631081556",
            "country_code": "US",
            "telephone_number": "314-720-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-25",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704234332",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4704234332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003066143",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "500C961050",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.