Individual provider Active NPI

Alison Mae Beatty, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1053250258
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN.CNP.0031638 Issued in OH
Practice address
2100 W Central Ave Ste 100a
Toledo, OH 43606-3817
Phone
(419) 291-8410
Fax
(419) 291-8405
NPI assigned
Mar 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.0031638 OH Primary

Addresses

Primary practice location

2100 W Central Ave Ste 100a
Toledo, OH 43606-3817

Mailing address

2100 W Central Ave Ste 100a
Toledo, OH 43606-3817
Phone (419) 291-8410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20260423000386 OH Practitioner - Nurse Practitioner 6204303613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Toledo College of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Madison Ave
MSC S38805
Toledo, OH 43604-1516

2100 W Central Ave
Suite 100
Toledo, OH 43606-3817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0031638OHMDPediatric Nurse Practitioner

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.

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1053250258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W CENTRAL AVE STE 100A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063817",
            "telephone_number": "419-291-8410",
            "fax_number": "419-291-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W CENTRAL AVE STE 100A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063817",
            "telephone_number": "419-291-8410",
            "fax_number": "419-291-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "ALISON",
        "middle_name": "MAE",
        "credential": "APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.0031638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.