Active NPI
Charles Jordan Beach, APRN
- Acute Care Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 3017848
- Practice address
- 1 Saint Joseph Dr
Lexington, KY 40504-3742 - Phone
- (859) 313-1000
- NPI assigned
- Jun 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 3017848 | KY | Primary |
Addresses
Primary practice location
1 Saint Joseph Dr
Lexington, KY 40504-3742
Mailing address
3449 Windyknoll Dr
Lexington, KY 40515-5851
Phone (270) 564-5877
Other practice location 1
740 S Limestone
Lexington, KY 40536-0284
Phone (859) 257-3253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230726004099 | KY | Practitioner - Nurse Practitioner | 4486015237 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nephrology Associates of Kentuckiana PSC
Practice addresses (Care Compare)
6400 Dutchmans Pkwy
Suite 250
Louisville, KY 40205-3354
Phone (502) 587-9660
Hospital & facility affiliations
- Baptist Health Richmond
- CHI Saint Joseph Berea NF
- Rockcastle County Hospital, Inc.
- Marcum and Wallace Memorial Hospital
- Baptist Health Lexington
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3017848 | KY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Kentuckiana PSC | Current | Accepting new patients |
Locations
3 Audubon Plaza Dr
Ste 330
Louisville, KY 40217
Phone (502) 583-1697
6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205
Phone 5025879660239
1036 Center Dr
Ste A
Richmond, KY 40475
Phone (859) 353-4245
Interoperability endpoints
- cbeach53041@direct.acumenmd.com
Organizations & group practices 1
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.
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Irvine, KY
- NPI 1487643821
Hospital
-
- General Acute Care Hospital
- Mount Vernon, KY
- NPI 1104890714
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1033848338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3449 WINDYKNOLL DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405155851",
"telephone_number": "270-564-5877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT JOSEPH DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043742",
"telephone_number": "859-313-1000"
}
],
"practiceLocations": [
{
"address_1": "740 S Limestone",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360284",
"country_code": "US",
"telephone_number": "859-257-3253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEACH",
"first_name": "CHARLES",
"middle_name": "JORDAN",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-10",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "3017848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.