Beau Timothy Wakefield, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5013067 Issued in NC

Practice address

2501 Lincolnton Hwy
Cherryville, NC 28021-8346

Phone

(704) 445-7162

NPI assigned

May 1, 2020

Last updated

Jul 11, 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 TX, NC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Post Acute Clinical Services PLLCGroup PAC ID 1951807627, 17 clinicians

After Hours Urgent Care Center PLLCGroup PAC ID 5496297707, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Lincoln Hospital, Lincolnton, NC, CCN 340145

Medicare enrollment (NPD)

Enrolled

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.

• After Hours Urgent Care Center, PLLC

  • Urgent Care Clinic/Center
  • Pineville, NC
  • NPI 1861274169
  Medicare reassignment Care Compare group NPD
• Post Acute Clinical Services PLLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1548061104
  Medicare reassignment Care Compare group NPD
• Mainstreet and Kidsstreet of North Carolina PLLC

  • Urgent Care Clinic/Center
  • Locust, NC
  • NPI 1144803040
  Medicare reassignment NPD
• Mainstreet and Kidsstreet of North Carolina PLLC

  • Urgent Care Clinic/Center
  • Burlington, NC
  • NPI 1043170558
  NPD

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

• Atrium Health Hospitals Inc

  dba Atrium Health Lincoln

  • General Acute Care Hospital
  • Lincolnton, NC
  • NPI 1730055054
  Care Compare affiliation

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1154942035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LINCOLNTON HWY",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280218346",
            "telephone_number": "704-445-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 LINCOLNTON HWY",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280218346",
            "telephone_number": "704-445-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "BEAU",
        "middle_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-01",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Shovlin Truesdale, ARNP
• Claudia Turkson-Ocran
• Van G. Dellinger, OD, PA
• Gwendolyn Denise Villela, PTA
• Brittany Vontz, PT, DPT
• Wal-Mart Stores East LP (Walmart Pharmacy 10-4594)
• Crystal Patterson Ware, RPH
• Kahaniyah Webster, LCSWA
• Mattie Elizabeth Wellmon, LPC
• Kristin Whitaker, M.S., CCC-SLP

• Family Nurse Practitioner in Cherryville, NC
• Providers in Cherryville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.