Lance Jeffrey Beebout, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9887 Issued in MN

Practice address

111 17TH Ave E Ste 101
Alexandria, MN 56308-3734

Phone

(320) 762-1144

Fax

(320) 762-1935

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alomere HealthGroup PAC ID 9931690047, 123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alomere Health Hospital, Alexandria, MN, CCN 240030
• Glacial Ridge Hospital Hospital, Glenwood, MN, CCN 241376

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbeebout27555@direct.centracare.com

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.

• Alomere Health

  • General Acute Care Hospital
  • Alexandria, MN
  • NPI 1558236091

  MN

  Medicare reassignment Care Compare group NPD
• Alomere Health

  • Durable Medical Equipment & Medical Supplies
  • Willmar, MN
  • NPI 1467318246
  Care Compare group NPD
• Alomere Health

  • Durable Medical Equipment & Medical Supplies
  • Fergus Falls, MN
  • NPI 1891651683
  Care Compare group
• West Central Pathology and Laboratory Medicine PA

  • Clinical Medical Laboratory
  • Alexandria, MN
  • NPI 1811988025
  NPD
• Douglas County Hospital

  • General Acute Care Hospital
  • Alexandria, MN
  • NPI 1164424305
  NPD (past)

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

• Alomere Health

  • General Acute Care Hospital
  • Alexandria, MN
  • NPI 1558236091

  Hospital

  Care Compare affiliation
• Glacial Ridge Hospital District

  • Critical Access Hospital
  • Glenwood, MN
  • NPI 1538178520

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1255300091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 17TH AVE E STE 101",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563083734",
            "telephone_number": "320-762-1144",
            "fax_number": "320-762-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 17TH AVE E STE 101",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563083734",
            "telephone_number": "320-762-1144",
            "fax_number": "320-762-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEBOUT",
        "first_name": "LANCE",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255300091",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Howell Barnts, MD
• Sierra Barten
• Barton Eye Care LLC
• Jay Julius Bauder, M.D.
• Karly Bauer
• Behavioral Health Clinic, LLC
• Paul W Bergstrand, MD
• Maxwell Alan Berscheit, NP-C
• Bethany on the Lake LLC
• Dorothy Mae Bisek, LICSW

• All providers in Alexandria, MN
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.