Individual provider Active NPI

Irene Bean, FNP

  • Family Nurse Practitioner
  • Madison, TN
National Provider Identifier
1245225564
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN0000105493 Issued in TN
Practice address
913 Gallatin Pike S
Madison, TN 37115-4603
Phone
(615) 915-2481
Fax
(615) 915-2488
NPI assigned
Sep 13, 2005
Last updated
Nov 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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 RN0000105493 TN Primary

Addresses

Primary practice location

913 Gallatin Pike S
Madison, TN 37115-4603

Mailing address

913 Gallatin Pike S
Madison, TN 37115-4603
Phone (615) 915-2481

Other identifiers 9

IdentifierTypeStateIssuer
000000OtherTNAMERICHOICE
39093091MedicaidTN
4192700OtherTNBLUE CROSS BLUE SHIELD
263063462OtherTNSERENITY HEALTH CARE
1295988822OtherTNGROUP NPI
39093091OtherTNMEDICARE
00000000OtherTNUNITED HEALTH CARE
10070838OtherTNAMERIGROUP
1245225564OtherTNNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20031112000299 TN Practitioner - Nurse Practitioner 3678486875 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN0000105493TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Health Care, P.C. CurrentSince Jan 22, 2010 Accepting new patients
Metro Center Health Care Group PC Past Accepting new patients
Due West Family Healthcare Inc PastSince Jan 22, 2023 Accepting new patients
Agapee Surgical Associates Inc. Past Accepting new patients

Locations

131 Edenwold Rd
Madison, TN 37115
Phone (615) 600-5964

913 Gallatin Pike S
Madison, TN 37115
Phone (615) 915-2481

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226016000000",
    "number": "1245225564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 GALLATIN PIKE S",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154603",
            "telephone_number": "615-915-2481",
            "fax_number": "615-915-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 GALLATIN PIKE S",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154603",
            "telephone_number": "615-915-2481",
            "fax_number": "615-915-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "IRENE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN0000105493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "000000",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39093091",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4192700",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERENITY HEALTH CARE",
            "identifier": "263063462",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1295988822",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "39093091",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "00000000",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10070838",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245225564",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.