Individual provider Active NPI

Ana Beard, CRNP

  • Adult Health Nurse Practitioner
  • Brookhaven, PA
National Provider Identifier
1073396420
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP028015 Issued in PA
Practice address
3605 Edgmont Ave Ste a
Brookhaven, PA 19015-2862
Phone
(610) 876-6180
Fax
(610) 876-6130
NPI assigned
Aug 17, 2023
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP028015 PA Primary

Addresses

Primary practice location

3605 Edgmont Ave Ste a
Brookhaven, PA 19015-2862

Mailing address

3605 Edgmont Ave Ste a
Brookhaven, PA 19015-2862
Phone (610) 876-6180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231003000031 PA Practitioner - Nurse Practitioner 2567816036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Discover Optimal HealthcareGroup PAC ID 9739334343, 4 clinicians

Practice addresses (Care Compare)

3605 Edgmont Ave
Brookhaven, PA 19015-2862
Phone (610) 876-6180

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Discover Optimal Healthcare CurrentSince Aug 21, 2023 Accepting new patients

Locations

3605 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-6180

3605 Edgmont Ave
Ste A
Brookhaven, PA 19015
Phone (610) 876-6180

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1073396420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 EDGMONT AVE STE A",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190152862",
            "telephone_number": "610-876-6180",
            "fax_number": "610-876-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 EDGMONT AVE STE A",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190152862",
            "telephone_number": "610-876-6180",
            "fax_number": "610-876-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "ANA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP028015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, PA

Sources for this page

Verify at the official NPI Registry.