Individual provider Active NPI

Spenser Robert Beasley, FNP-C

  • Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1003268848
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008695 Issued in NC
Practice address
3903 N Elm St
Greensboro, NC 27455-2877
Phone
(336) 713-4500
Fax
(336) 716-4501
NPI assigned
Jul 5, 2016
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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 5008695 NC Primary
Family Nurse Practitioner 363LF0000X 5008695 NC

Addresses

Primary practice location

3903 N Elm St
Greensboro, NC 27455-2877

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-2255

Other practice location 1

301 E Wendover Ave Ste 311
Greensboro, NC 27401-1210
Phone (336) 272-6161

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbeasley13430@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180228000364 NC Practitioner - Nurse Practitioner 8527329937 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5008695NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Nurse Practitioner Current Accepting new patients
Moses Cone Physician Services, Inc. Family CurrentSince Dec 23, 2017 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Dec 23, 2017 Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients

Locations

1103 N Elm St
Ste 300
Greensboro, NC 27401
Phone (336) 271-3331

300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038

301 E Wendover Ave
Ste 311
Greensboro, NC 27401
Phone (336) 272-6161

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

Interoperability endpoints

  • Direct secure messaging: sbeasley3024756@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1003268848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552877",
            "telephone_number": "336-713-4500",
            "fax_number": "336-716-4501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Wendover Ave Ste 311",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011210",
            "country_code": "US",
            "telephone_number": "336-272-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "SPENSER",
        "middle_name": "ROBERT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008695",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbeasley13430@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health DirectAddress",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 E Wendover Ave Ste 311",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.