Michael Lance Bevels, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-129125 Issued in AL

Practice address

301 Mariarden Rd
Dadeville, AL 36853-6254

Phone

(256) 825-7821

NPI assigned

Oct 2, 2023

Last updated

Oct 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivy Creek of Tallapoosa LLCGroup PAC ID 8123938719, 13 clinicians

Ivy Creek Family Care of Lake MartinGroup PAC ID 6103281977, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Martin Community Hospital Hospital, Dadeville, AL, CCN 010052

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

• Ivy Creek Family Care of Lake Martin

  dba Ivy Creek Urgent Care

  • Urgent Care Clinic/Center
  • Dadeville, AL
  • NPI 1609572890
  Medicare reassignment Care Compare group NPD
• Ivy Creek of Tallapoosa LLC

  dba Lake Martin Family Medicine

  • Rural Health Clinic/Center
  • Dadeville, AL
  • NPI 1932130002
  Medicare reassignment Care Compare group NPD
• Nes Tennessee Inc

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1437606605

  Family

  Medicare reassignment NPD
• Newgen Alabama Billing LLC

  • Emergency Medicine Physician
  • Ozark, AL
  • NPI 1013744424
  Medicare reassignment NPD
• Ivy Creek of Tallapoosa

  dba Lake Martin Community Hospital

  • Rural Acute Care Hospital
  • Dadeville, AL
  • NPI 1720273303
  NPD
• Ivy Creek of Tallapoosa, LLC

  dba Reference Lab

  • Clinical Medical Laboratory
  • Dadeville, AL
  • NPI 1932783693
  NPD
• Nes Tennessee Inc

  • Emergency Medicine Physician
  • Monroeville, AL
  • NPI 1013519230
  NPD
• Nes Tennessee Inc

  • Emergency Medicine Physician
  • Sylacauga, AL
  • NPI 1720507635
  NPD

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

• Ivy Creek of Tallapoosa, LLC

  dba Lake Martin Community Hospital

  • Rural Acute Care Hospital
  • Dadeville, AL
  • NPI 1598783904
  Care Compare affiliation

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1093595746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 HIGHWAY 63 S",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350106160",
            "telephone_number": "256-307-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MARIARDEN RD",
            "city": "DADEVILLE",
            "state": "AL",
            "postal_code": "368536254",
            "telephone_number": "256-825-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVELS",
        "first_name": "MICHAEL",
        "middle_name": "LANCE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-129125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Ashcraft, DMD
• Frances Kahanec Bartel, M.D.
• Robert William Bartel, MD
• Bio-Medical Applications of Alabama, Inc. (Dialysis Services of Dadeville)
• Joshua Bunger
• Jeannie Clark Burt, RD
• William Creed Carleton
• Rachel Chappell, PHARMD

• Family Nurse Practitioner in Dadeville, AL
• Providers in Dadeville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.