Individual provider Active NPI

John Reed Beabout Jr., CRNP

  • Family Nurse Practitioner
  • Washington, PA
National Provider Identifier
1225429129
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP014740 Issued in PA
Practice address
37 Highland Ave
Washington, PA 15301-4062
Phone
(724) 223-1067
Fax
(724) 223-1088
NPI assigned
Feb 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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 SP014740 PA Primary

Addresses

Primary practice location

37 Highland Ave
Washington, PA 15301-4062

Mailing address

37 Highland Ave
Washington, PA 15301-4062
Phone (724) 223-1067

Other identifiers 1

IdentifierTypeStateIssuer
SP014740OtherPASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 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
I20160330000602 PA Practitioner - Nurse Practitioner 4486951852 Reassigns benefits to 2 organizations
I20240917000975 WV Practitioner - Nurse Practitioner 4486951852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3000

Hospital & facility affiliations

  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013
  • Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072
  • Washington Hospital, the Hospital, Washington, PA, CCN 390042
  • Barnesville Hospital Association, Inc Hospital, Barnesville, OH, CCN 361321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centerville Clinics, Inc. Current Accepting new patients
Wheeling Hospital Inc CurrentSince Sep 1, 2024 Accepting new patients
Centerville Clinics, Inc. CurrentSince Mar 7, 2016 Accepting new patients
Centerville Clinics, Inc CurrentSince Mar 7, 2016 Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Washington Physician Services CurrentSince Oct 1, 2021 Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Wheeling Hospital Inc Past Accepting new patients

Locations

1070 Old National Pike
Fredericktown, PA 15333

37 Highland Ave
Washington, PA 15301
Phone (724) 223-1067

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

125 N Franklin Dr
Ste 1
Washington, PA 15301
Phone (724) 225-6500

125 N Franklin Dr
Ste 3
Washington, PA 15301
Phone (724) 222-8871

20 Medical Park
Ste 201
Wheeling, WV 26003
Phone (304) 243-1412

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Organizations & group practices 12

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.

Hospital & facility affiliations 6

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": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1225429129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 HIGHLAND AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014062",
            "telephone_number": "724-223-1067",
            "fax_number": "724-223-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 HIGHLAND AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014062",
            "telephone_number": "724-223-1067",
            "fax_number": "724-223-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEABOUT",
        "first_name": "JOHN",
        "middle_name": "REED",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-12",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SP014740",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.