Active NPI
Beena Paul
- Gerontology Nurse Practitioner
- Edinburg, TX
National Provider Identifier
1063270122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1156975
- Practice address
- 5501 S McColl Rd
Edinburg, TX 78539-5503 - Phone
- (956) 362-8677
- Fax
- (956) 362-7253
- NPI assigned
- Mar 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1156975 | TX | Primary |
Addresses
Primary practice location
5501 S McColl Rd
Edinburg, TX 78539-5503
Mailing address
PO Box 6148
McAllen, TX 78502-6148
Phone (956) 362-8677
Other practice location 1
900 S Bryan Rd
Mission, TX 78572-6613
Phone (956) 362-8677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1156975 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance ICU Group | Gerontology | Current | Accepting new patients |
Locations
5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300
900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Edinburg, TX
- NPI 1740715820
Gerontology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1063270122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6148",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785026148",
"telephone_number": "956-362-8677",
"fax_number": "956-362-7253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785395503",
"telephone_number": "956-362-8677",
"fax_number": "956-362-7253"
}
],
"practiceLocations": [
{
"address_1": "900 S Bryan Rd",
"address_purpose": "LOCATION",
"city": "Mission",
"state": "TX",
"postal_code": "785726613",
"country_code": "US",
"telephone_number": "956-362-8677",
"fax_number": "956-362-7253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAUL",
"first_name": "BEENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-12",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1156975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.