Beatrice Marie Anderson, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209018442 Issued in IL

Practice address

3545 N Vermilion St
Danville, IL 61832-1100

Phone

(217) 651-6801

NPI assigned

Nov 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 25, 2021 through Jan 25, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: beatrice.anderson.1@30412.direct.athenahealth.com

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.

• Two Roads Wellness Clinic, LLC

  • Primary Care Nurse Practitioner
  • Danville, IL
  • NPI 1417329426
  NPD (past)

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1104394493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 EAGLE DR",
            "city": "COVINGTON",
            "state": "IN",
            "postal_code": "479328504",
            "telephone_number": "217-260-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 N VERMILION ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321100",
            "telephone_number": "217-651-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BEATRICE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209018442",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.018442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Family Healthcare LLC
• Joanne M Ames, R.O.
• Hetal H Amin, MD
• Narayan R. Amin, M.D.
• Ihunna Jacqueline Amugo, DDS
• Britney M Anderson, PHARMD
• Karla Anderson, BS
• Mark W Anderson, DDS MS
• Stacy Anderson, BSN RN
• Jeanette Andrade

• Adult Health Nurse Practitioner in Danville, IL
• Providers in Danville, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.