Jayci Michelle Beamer, ARNP

Individual provider Active NPI Family Nurse Practitioner · Ottumwa, IA

NPI 1043796469 · NPPES record last updated Jul 18, 2018

Key facts

NPI
1043796469
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
A123953 (IA)
Practice address
1009 Pennsylvania Ave
Ottumwa, IA 52501-2108
Phone
(641) 683-4300
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240314000520 IA Order and Referring Only - Family Practice
Practitioner - Family Practice
2264820562

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A123953 IA Yes

Addresses

Primary practice location

1009 Pennsylvania Ave
Ottumwa, IA 52501-2108

Mailing address

26867 Garnet Ave
Bloomfield, IA 52537-7401
Phone (641) 799-1435

Other providers in Ottumwa, IA

All providers in Ottumwa, IA · Family Nurse Practitioner in Iowa

Sources for this page

Verify at the official NPI Registry.