Individual provider Active NPI

Zebulun Beam, CNP

  • Family Nurse Practitioner
  • Wooster, OH
National Provider Identifier
1255175485
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0036769 Issued in OH
Practice address
1739 Cleveland Rd
Wooster, OH 44691-2203
Phone
(330) 988-3158
NPI assigned
Jun 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 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 0036769 OH Primary

Addresses

Primary practice location

1739 Cleveland Rd
Wooster, OH 44691-2203

Mailing address

7819 Township Road 562
Holmesville, OH 44633-9714
Phone (330) 988-3158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250205001100 OH Practitioner - Nurse Practitioner 5294265336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare 2000 Community Clinic IncGroup PAC ID 3173743689, 14 clinicians

Practice addresses (Care Compare)

1739 Cleveland Rd
Wooster, OH 44691-2203
Phone 3302622500102

Hospital & facility affiliations

  • Wooster Community Hospital Hospital, Wooster, OH, CCN 360036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0036769OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare 2000 Community Clinic Inc CurrentSince Nov 22, 2024 Accepting new patients
Healthcare 2000 Community Clinic Inc Current Accepting new patients

Locations

1739 Cleveland Rd
Wooster, OH 44691
Phone (330) 262-2500

1874 Cleveland Rd
Wooster, OH 44691
Phone (330) 262-2500

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 and National Provider Directory roles.

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": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1255175485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7819 TOWNSHIP ROAD 562",
            "city": "HOLMESVILLE",
            "state": "OH",
            "postal_code": "446339714",
            "telephone_number": "330-988-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912203",
            "telephone_number": "330-988-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAM",
        "first_name": "ZEBULUN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0036769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.