Beeshae Wilkerson, P.A.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704225666 Issued in MI

Practice address

1840 Wealthy St SE
MC 426
Grand Rapids, MI 49506-2921

Phone

(616) 774-5221

Fax

(616) 774-5391

NPI assigned

Nov 3, 2008

Sex

Female

Sole proprietor

No

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 MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Grand Rapids Addiction Medicine Specialists PC

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1780642355
  NPD (past)
• Hospitalists of West Michigan PC

  • Infusion Therapy Clinic/Center
  • Grand Rapids, MI
  • NPI 1942334636
  NPD (past)

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1093968174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1682",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495011682",
            "telephone_number": "616-774-5221",
            "fax_number": "616-774-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 WEALTHY ST SE",
            "address_2": "MC 426",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062921",
            "telephone_number": "616-774-5221",
            "fax_number": "616-774-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "BEESHAE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704225666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Rosemarie Wilhelm, MD
• Maju Basila Wilhelm, RN
• Norman R Wilhelmsen, D.D.S.,M.S.
• Andrew Michael Wilke, O.D.
• Anne Marie Wilke
• Allison Elizabeth Wilkes, DNP
• Michael Wilkes
• Sarah Jane Wilkes, M.D.
• Carol Lynn Wilkin, PT
• Sarah Wilkins

• Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.

Verify at the official NPI Registry.