Individual provider Active NPI

Beth Ann Dalrymple-Woods, NP

  • Adult Health Nurse Practitioner
  • Jerseyville, IL
National Provider Identifier
1194950816
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209020700 Issued in IL
Practice address
400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone
(618) 498-8472
Fax
(618) 498-8461
NPI assigned
May 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2002014570 MO
Adult Health Nurse Practitioner 363LA2200X 209020700 IL Primary

Addresses

Primary practice location

400 Maple Summit Rd
Jerseyville, IL 62052-2028

Mailing address

400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-8472

Other names 1

  • Beth Ann Paige Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20171019002976 MO Practitioner - Nurse Practitioner 6204102171 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NP Health of Mo LLCGroup PAC ID 4183047053, 17 clinicians

Practice addresses (Care Compare)

5400 Executive Centre Pkwy
Saint Peters, MO 63376-2594
Phone (636) 477-6955

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NP Health of Mo LLC CurrentSince Apr 1, 2023 Accepting new patients
Washington University CurrentSince Oct 2, 2017 Accepting new patients
Washington University CurrentSince Oct 2, 2017 Accepting new patients
Onyx Spine Institute, LLC CurrentSince Jan 5, 2026 Accepting new patients
Onyx Management Services Organization LLC Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

4401 Parker Rd
Black Jack, MO 63033
Phone (314) 312-0720

10 Lake Dr
Bonne Terre, MO 63628
Phone (573) 358-2800

15197 Clayton Rd
Chesterfield, MO 63017
Phone (636) 394-7515

322 Old State Rd
Ellisville, MO 63021
Phone (636) 227-3431

1705 Christy Dr
Ste 201
Jefferson Cty, MO 65101
Phone (573) 635-0051

2920 Fee Fee Rd
Maryland Hts, MO 63043
Phone (314) 291-0121

660 S Euclid Ave
#C
Saint Louis, MO 63110

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

425 N New Ballas Rd
Ste 230
Saint Louis, MO 63141
Phone (314) 266-2066

4921 Parkview Pl
Ste 6A6B12A
Saint Louis, MO 63110
Phone (314) 747-2551

5400 Executive Centre Pkwy
Saint Peters, MO 63376
Phone (636) 288-4149

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1194950816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MAPLE SUMMIT RD",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522028",
            "telephone_number": "618-498-8472",
            "fax_number": "618-498-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAPLE SUMMIT RD",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522028",
            "telephone_number": "618-498-8472",
            "fax_number": "618-498-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALRYMPLE-WOODS",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2002014570",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209020700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "PAIGE",
            "middle_name": "ANN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jerseyville, IL

Sources for this page

Verify at the official NPI Registry.