Ross Andrew Beavers, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

101049 Issued in NE

Practice address

1301 E H St
MC Cook, NE 69001-3482

Phone

(308) 344-2650

NPI assigned

Jul 30, 2008

Last updated

Dec 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Box Butte General HospitalGroup PAC ID 9638089584, shared by 7 NPIs, 60 clinicians

North Platte Surgery Center Anesthesia LLCGroup PAC ID 6709969751, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: communityhospitalmccook@chm.medalliesdirect.net

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.

• North Platte Surgery Center Anesthesia, LLC

  • Anesthesiology Physician
  • North Platte, NE
  • NPI 1780869222

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Box Butte General Hospital

  • Critical Access Hospital
  • Alliance, NE
  • NPI 1811929060
  Medicare reassignment NPD
• Box Butte General Hospital

  dba Greater Nebraska Medical & Surgical Services - Alliance

  • Clinic/Center
  • Alliance, NE
  • NPI 1871652453
  Medicare reassignment NPD
• Community Hospital Association

  dba Community Hospital Professional Services

  • Emergency Medicine Physician
  • McCook, NE
  • NPI 1588771158

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Box Butte General Hospital

  • Critical Access Hospital Clinic/Center
  • Alliance, NE
  • NPI 1346309929
  NPD
• Box Butte General Hospital

  dba Greater Nebraska Medical & Surgical Services - Hemingford

  • Rural Health Clinic/Center
  • Hemingford, NE
  • NPI 1609944388
  NPD
• Community Hospital Association

  dba Community Healthcare and Hospice

  • Home Health Agency
  • McCook, NE
  • NPI 1194753889
  NPD
• North Platte Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • North Platte, NE
  • NPI 1154316339
  NPD

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1053577064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690011328",
            "telephone_number": "308-344-2650",
            "fax_number": "308-340-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E H ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690013482",
            "telephone_number": "308-344-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "ROSS",
        "middle_name": "ANDREW",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2020-12-22",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEBRASKA DHHS",
            "identifier": "101049",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "communityhospitalmccook@chm.medalliesdirect.net",
            "affiliation": "Y",
            "affiliationName": "COMMUNITY HOSPITAL ASSOCIATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1301 E H St",
            "city": "McCook",
            "state": "NE",
            "country_code": "US",
            "postal_code": "690013482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Courtney J Barger, OTR/L
• Tyra Barger
• Joan Bass
• Alyssa B Bauer, NP-C
• Jennifer Beavers
• Sarah Beck
• Gabrielle Layne Bednar, P.T.
• Ashley Bennett
• Sadie Bentrim
• Cora S. Berry, MA

• Certified Registered Nurse Anesthetist in McCook, NE
• Providers in McCook, NE by specialty
• Certified Registered Nurse Anesthetist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.