Anne Therese Beauchamp, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704293806 Issued in MI

Practice address

1055 Medical Park Dr SE
Grand Rapids, MI 49546-8323

Phone

(616) 942-9610

NPI assigned

Feb 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Recovery Physicians Network of MichiganGroup PAC ID 5597162552, 19 clinicians

Smart Minds LLCGroup PAC ID 8628567880, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Recovery Physicians Network of Michigan

  • Addiction (Substance Use Disorder) Psychologist
  • Auburn Hills, MI
  • NPI 1689343683

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Smart Minds LLC

  • Psychiatry Physician
  • Grand Rapids, MI
  • NPI 1114891249
  Medicare reassignment Care Compare group NPD
• Balanced Psychiatric Staffing Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Rapids, MI
  • NPI 1093535049
  NPD Authorized official
• Forest View Psychiatric Hospital Inc

  • Psychiatric Hospital
  • Grand Rapids, MI
  • NPI 1740251313
  NPD (past)
• Spectrum Health Hospitals

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1922090554
  NPD (past)

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1003672528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 48TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495084724",
            "telephone_number": "616-460-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 MEDICAL PARK DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468323",
            "telephone_number": "616-942-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "ANNE",
        "middle_name": "THERESE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704293806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Beatty
• Madison Beatty
• Christina Marie Beaty, PA-C
• Jason John Beauch, R.PH.
• Amy Joann Beauchamp, MD
• Elaine Marie Beauchamp, MSW
• Kathleen Patricia Beauchamp
• Norman Joseph Beauchamp III, MD
• Danielle M Beaudoin, DPT
• Abbigale Beaudrie

• Psychiatric/Mental Health Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.