Individual provider Active NPI

Samantha Lou Beans, RN, FNP

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1265735559
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
684846 Issued in TX
Practice address
5201 Harry Hines Blvd
Dallas, TX 75235-7708
Phone
(214) 590-5512
NPI assigned
Dec 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 684846 TX
Nurse Practitioner 363L00000X 684846 TX Primary

Addresses

Primary practice location

5201 Harry Hines Blvd
Dallas, TX 75235-7708

Mailing address

5323 Harry Hines Blvd
Dallas, TX 75390-8579
Phone (214) 648-2326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110405001122 TX Practitioner - Nurse Practitioner 9830373414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3827 N Lafayette St
Denver, CO 80205-5089

6363 Forest Park Rd
Suite 300
Dallas, TX 75235-5402

6363 Forest Park Rd
Suite BL3 300
Dallas, TX 75390-9087

801 Lake Ranch LN
Wylie, TX 75098-7129

8435 N Stemmons Freeway
700 Patient Financial Services
Dallas, TX 75247-3930

8435 N Stemmons Fwy 700
Patient Financial Services
Dallas, TX 75247-3930

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

Merit-based Incentive Payment System (MIPS)

Final score
56.11 of 100Reported as group
Quality
50.63
Improvement activities
40
Cost
27.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
684846TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth-Texas P a CurrentSince Jun 1, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Oct 17, 2015 Accepting new patients
Dallas County Hospital District Nurse Practitioner CurrentSince Sep 11, 2017 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Oct 17, 2015 Accepting new patients

Locations

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

211 Highland Cross Dr
Houston, TX 77073
Phone (713) 422-2920

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

2201 N Central Expy
Ste 125
Richardson, TX 75080
Phone (214) 377-1790

7560 Glenview Dr
Ste 100
Richland Hills, TX 76180
Phone (817) 435-1970

4335 W Piedras Dr
Ste 101
San Antonio, TX 78228
Phone (210) 891-5235

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: samantha.beans.1@13869.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1265735559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753908579",
            "telephone_number": "214-648-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357708",
            "telephone_number": "214-590-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEANS",
        "first_name": "SAMANTHA",
        "middle_name": "LOU",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "684846",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "684846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.