Beverly Batalla Thielke, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

837645 Issued in NV

Practice address

12300 Sandy Peak Ave
Las Vegas, NV 89138-1116

Phone

(702) 606-2072

NPI assigned

Feb 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Royal Majesty Home Health, Inc Home health agency, Las Vegas, NV, CCN 297171
• Community Home Health, Inc. Home health agency, Las Vegas, NV, CCN 297343

Merit-based Incentive Payment System (MIPS)

Final score

16.49 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

54.96

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• B2 Medical Consulting LLC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1588411433

  Family, NV

  Medicare reassignment NPD Authorized official

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

• Community Home Health, Inc.

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1831979061
  Care Compare affiliation
• Royal Majesty Home Health, Inc.

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1215109012
  Care Compare affiliation

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1043801012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 SAINT ROSE PKWY STE 120-481",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524601",
            "telephone_number": "702-781-4800",
            "fax_number": "702-664-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 SANDY PEAK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891381116",
            "telephone_number": "702-606-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELKE",
        "first_name": "BEVERLY",
        "middle_name": "BATALLA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "837645",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "837645",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "837645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damante Thibodeaux
• Deborah Suzanne Thibodeaux
• Janika Thibodeaux, RBT
• Norma Jean Thiel, RD
• Mikayla Thielges
• Bruce M Thielke, PHARMD
• John David Thiemann, LCSW
• Corinne Thies
• Eden Kristine Thiess
• Peggy Thiessen

• All providers in Las Vegas, NV
• Acute Care Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.