Individual provider Active NPI

Beverly Ann Prejean, NP-C

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1184961856
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP122886 Issued in TX
Practice address
450 N 11TH St
Beaumont, TX 77702-1804
Phone
(832) 548-5000
NPI assigned
Jan 14, 2013
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP122886 TX Primary

Addresses

Primary practice location

450 N 11TH St
Beaumont, TX 77702-1804

Mailing address

PO Box 66308
Houston, TX 77266-6308

Other practice location 1

4046 Dowlen Rd
Beaumont, TX 77706-6849
Phone (409) 236-3510

Other names 1

  • Beverly Ann Stewart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20150922002690 TX Practitioner - Nurse Practitioner 7911149729 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians
Nluc PLLCGroup PAC ID 3072752302, 219 clinicians

Practice addresses (Care Compare)

2246 Nall St
Christus Family Medicine Port Neches
Port Neches, TX 77651-4208
Phone (409) 722-4400

3195 Dowlen Rd
Suite 105
Beaumont, TX 77706-7272
Phone (409) 860-1888

4046 Dowlen Rd
Beaumont, TX 77706-6849
Phone (409) 225-5924

6342 Phelan Blvd
Beaumont, TX 77706-6150
Phone (281) 783-8162

PO Box
Suite 846098
Dallas, TX 75284-6098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Aug 19, 2024 Accepting new patients
First Docs PC CurrentSince Jan 1, 2026 Accepting new patients
Acorn Medical Home CurrentSince Sep 1, 2023 Accepting new patients
Elite Hospital Partners, PLLC CurrentSince Apr 10, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 19, 2024 Accepting new patients
Total Care Medical, PLLC CurrentSince Jan 17, 2024 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Feb 1, 2026 Accepting new patients
Beaumont Emergency Medicine Associates PLLC CurrentSince Mar 26, 2024 Accepting new patients
Gulf Coast Health Center, Inc PastSince Jun 22, 2015 Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients

Locations

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

4046 Dowlen Rd
Beaumont, TX 77706
Phone (409) 225-5924

1650 Texas Ave
Ste E
Bridge City, TX 77611
Phone (409) 313-1154

1650 Texas Ave
Ste G
Bridge City, TX 77611
Phone (833) 698-6825

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

2246 Nall St
Port Neches, TX 77651
Phone (409) 344-4010

4724 Lakeview Pkwy
Ste 300
Rowlett, TX 75088
Phone (469) 947-6240

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: bprejean392350@christushealth.direct-ci.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1184961856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772666308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021804",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4046 Dowlen Rd",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777066849",
            "country_code": "US",
            "telephone_number": "409-236-3510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREJEAN",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP122886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "STEWART",
            "middle_name": "ANN",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.