Active NPI
Anne Beeson Ivie, MD
- Family Medicine Physician
- Selinsgrove, PA
National Provider Identifier
1114412145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD474731
- Practice address
- 21 Susquehanna Valley Mall Dr Ste a
Selinsgrove, PA 17870-9148 - Phone
- (570) 374-7852
- Fax
- (570) 374-7932
- NPI assigned
- Jun 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD474731 | PA | Primary |
Addresses
Primary practice location
21 Susquehanna Valley Mall Dr Ste a
Selinsgrove, PA 17870-9148
Mailing address
7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035051270002 | Medicaid | PA | |
| 1S4222 | Other | PA | MEDICARE |
Other names 1
- Anne Beeson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | anneivie@fpc.medentdirect.com | Health Information Exchange (HIE) | FAMILY PRACTICE CENTER, PC |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
21 Susquehanna Valley Mall Dr
Suite a
Selinsgrove, PA 17870-9148
Phone (570) 374-7852
Hospital & facility affiliations
- Residential Home Health of NC PA, LLC
- Geisinger Home Health
- Wellspan Evangelical Community Hospital
- Geisinger Medical Center
- Upmc Pinnacle Hospitals
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD474731 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Center, PC | Multi-Specialty | Current | Accepting new patients |
| Family Practice Center, PC | Current | Accepting new patients |
Locations
7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123
2813 Industrial Park Rd
Ste C
Mifflintown, PA 17059
Phone (717) 436-8283
270 Susquehanna Valley Mall Dr
Ste 100
Selinsgrove, PA 17870
Phone (570) 743-1703
21 Susquehanna Valley Mall Dr
Ste A
Selinsgrove, PA 17870
Phone (570) 374-7852
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Selinsgrove, PA
- NPI 1033322466
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewisburg, PA
- NPI 1124076039
-
- General Acute Care Hospital
- Danville, PA
- NPI 1013384809
-
- General Acute Care Hospital
- Coal Township, PA
- NPI 1033491741
-
- Psychiatric Hospital Unit
- Danville, PA
- NPI 1144301102
-
- General Acute Care Hospital
- Lewisburg, PA
- NPI 1154617694
-
- General Acute Care Hospital
- Danville, PA
- NPI 1235215427
-
- General Acute Care Hospital
- Danville, PA
- NPI 1275832164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1114412145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 DOCK HILL RD",
"city": "MIDDLEBURG",
"state": "PA",
"postal_code": "178428910",
"telephone_number": "570-837-2123",
"fax_number": "570-837-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SUSQUEHANNA VALLEY MALL DR STE A",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "178709148",
"telephone_number": "570-374-7852",
"fax_number": "570-374-7932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVIE",
"first_name": "ANNE",
"middle_name": "BEESON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-22",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "MD474731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1035051270002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1S4222",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "anneivie@fpc.medentdirect.com",
"affiliation": "Y",
"affiliationName": "FAMILY PRACTICE CENTER, PC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "21 Susquehanna Valley Mall Dr Ste A",
"city": "Selinsgrove",
"state": "PA",
"country_code": "US",
"postal_code": "178709148",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANNE",
"last_name": "BEESON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Selinsgrove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.