Individual provider Active NPI

Abigail Coles Beck, FNP-C

  • Family Nurse Practitioner
  • Crestview, FL
National Provider Identifier
1215716667
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11042966 Issued in FL
Practice address
550 Redstone Ave W Ste 470
Crestview, FL 32536-6457
Phone
(850) 689-2229
Fax
(850) 689-2580
NPI assigned
Sep 25, 2023
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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 APRN11042966 FL Primary

Addresses

Primary practice location

550 Redstone Ave W Ste 470
Crestview, FL 32536-6457

Mailing address

550 Redstone Ave W Ste 470
Crestview, FL 32536-6457
Phone (850) 689-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20250805003214 CA Practitioner - Nurse Practitioner 2062920564 Reassigns benefits to 1 organization
I20260518000273 FL Practitioner - Nurse Practitioner 2062920564

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Okaloosa Clinic CorpGroup PAC ID 0244205565, 27 clinicians

Practice addresses (Care Compare)

524 W James Lee Blvd
Crestview, FL 32536-5129
Phone (850) 398-8725

550 Redstone Ave W
Suite 490
Crestview, FL 32536-6457
Phone (850) 689-8321

550 Redstone W Ave
Crestview, FL 32536-6457

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95030646CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
P.C Medical Clinic Inc CurrentSince Jun 1, 2025 Accepting new patients
North Okaloosa Clinic Corp Past Accepting new patients

Locations

1523 W Avenue J
Ste 7
Lancaster, CA 93534
Phone (661) 945-2221

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1215716667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 REDSTONE AVE W STE 470",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325366457",
            "telephone_number": "850-689-2229",
            "fax_number": "850-689-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 REDSTONE AVE W STE 470",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325366457",
            "telephone_number": "850-689-2229",
            "fax_number": "850-689-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "ABIGAIL",
        "middle_name": "COLES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11042966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.