Individual provider Active NPI

Joan E Beasley, CRNP

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1043600729
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-102818 Issued in AL
Practice address
800 Montclair Rd
Suite 101
Birmingham, AL 35213-1908
Phone
(205) 592-5235
NPI assigned
Feb 2, 2015
Last updated
Feb 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-102818 AL Primary

Addresses

Primary practice location

800 Montclair Rd
Suite 101
Birmingham, AL 35213-1908

Mailing address

825 Reach CRST
Birmingham, AL 35242-8642
Phone (205) 767-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20150427000564 AL Practitioner - Nurse Practitioner 4082933965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalists Services of Alabama, LLCGroup PAC ID 6507099793, 20 clinicians

Practice addresses (Care Compare)

2010 Brookwood Med Ctr Dr
Birmingham, AL 35209-6804
Phone (205) 877-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.28 of 100Reported as group
Quality
59.03
Improvement activities
0
Cost
73.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-102818ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalists Services of Alabama, LLC CurrentSince Sep 1, 2015 Accepting new patients
BHC - Montclair Hospitalist Past Accepting new patients
Rehabilitation Services of Alabama, LLC Past Accepting new patients

Locations

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1043600729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 REACH CRST",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428642",
            "telephone_number": "205-767-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MONTCLAIR RD",
            "address_2": "SUITE 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131908",
            "telephone_number": "205-592-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "JOAN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-102818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.