Active NPI
Gerard Robert Beaudry, MSN, ACNP
- Nurse Practitioner
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 063188-23
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-1000 - Phone
- (603) 308-1467
- NPI assigned
- Oct 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 063188-23 | NH | |
| Acute Care Nurse Practitioner | 363LA2100X | 101.0118274 | VT | |
| Nurse Practitioner | 363L00000X | 063188-23 | NH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 308-1467
Other practice location 1
160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131206000865 | NH | Practitioner - Nurse Practitioner | 3173501004 | Reassigns benefits to 2 organizations |
| I20160602000572 | VT | Practitioner - Nurse Practitioner | 3173501004 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rutland Hospital, Inc.
Practice addresses (Care Compare)
160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111
Hospital & facility affiliations
- Rutland Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101.0118274 | VT | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Vermont Pathology PC | Current | Accepting new patients | |
| Springfield Hospital .Inc | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Rutland Hospital, Inc | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Springfield Hospital | Current | Accepting new patients |
Locations
250 Ceda Rd
Charlestown, NH 03603
Phone (603) 826-5711
243 Elm St
Claremont, NH 03743
Phone (603) 542-7771
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
160 Allen St
Rutland, VT 05701
25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6f43d0e7-6ff2-489b-abdc-44e8a5e0ca0a/
- vrhgbeaud@yourcarecommunity.org
Organizations & group practices 13
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.
-
- Emergency Medicine Physician
- Rutland, VT
- NPI 1194789941
-
- Specialist
- Rutland, VT
- NPI 1083678833
-
- Specialist
- Rutland, VT
- NPI 1295799047
-
- Psychiatric Hospital Unit
- Rutland, VT
- NPI 1467416206
-
- Pharmacy
- Rutland, VT
- NPI 1295287936
-
- General Acute Care Hospital
- Rutland, VT
- NPI 1720042203
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
-
- Anatomic Pathology & Clinical Pathology Physician
- Rutland, VT
- NPI 1316085814
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": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1104253434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-308-1467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-308-1467"
}
],
"practiceLocations": [
{
"address_1": "160 Allen St",
"address_purpose": "LOCATION",
"city": "Rutland",
"state": "VT",
"postal_code": "057014560",
"country_code": "US",
"telephone_number": "802-775-7111",
"fax_number": "802-747-6207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAUDRY",
"first_name": "GERARD",
"middle_name": "ROBERT",
"credential": "MSN, ACNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-01",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NH",
"license": "063188-23",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VT",
"license": "101.0118274",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "063188-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.