Michael Wayne Beres, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201050 Issued in NC

Practice address

400 Johnson Ridge Rd
Elkin, NC 28621-2418

Phone

(336) 526-4500

Fax

(336) 526-8626

NPI assigned

Jan 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 NC

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

Nurse Practitioner

Education

Duke University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hugh Chatham Memorial Hospital, Inc.Group PAC ID 2062311442, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hugh Chatham Memorial Hospital Hospital, Elkin, NC, CCN 340097
• Alleghany Memorial Hospital Hospital, Sparta, NC, CCN 341320

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mberes@tco.gwaydirect.com

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.

• Hugh Chatham Memorial Hospital, Inc.

  dba Clingman Medical Center

  • Family Medicine Physician
  • Ronda, NC
  • NPI 1447373063
  Medicare reassignment Care Compare group NPD
• Hugh Chatham Memorial Hospital

  dba Hugh Chatham Behavioral Health

  • Psychiatry Physician
  • Elkin, NC
  • NPI 1740692656
  NPD
• Hugh Chatham Memorial Hospital, Inc

  dba Tri-County Orthopedic & Sports Medicine

  • Orthopaedic Surgery Physician
  • Elkin, NC
  • NPI 1275812273
  NPD
• Hugh Chatham Memorial Hospital, Inc

  dba Hugh Chatham Family Medicine

  • Family Medicine Physician
  • Elkin, NC
  • NPI 1134372477
  NPD (past)
• Sterling Emergency Services of the Southeast, Inc

  • Emergency Medicine Physician
  • Salisbury, NC
  • NPI 1770541245
  NPD (past)
• Tri-County Orthopedic & Sports Medicine, PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Elkin, NC
  • NPI 1760441711
  NPD (past)
• Grayson Highlands Family Medicine & Obstetrics

  • Family Medicine Physician
  • Independence, VA
  • NPI 1922182112
  NPD (past)

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

• Alleghany County Memorial Hospital Inc

  dba Alleghany Health

  • Critical Access Hospital
  • Sparta, NC
  • NPI 1356318968
  Care Compare affiliation
• Hugh Chatham Memorial Hospital Inc

  • General Acute Care Hospital
  • Elkin, NC
  • NPI 1942361308
  Care Compare affiliation
• Hugh Chatham Memorial Hospital, Inc.

  dba Hugh Chatham Health Family Medicine Residency

  • Family Medicine Physician
  • Elkin, NC
  • NPI 1679428486

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275504185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 JOHNSON RIDGE MEDICAL PARK",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212447",
            "telephone_number": "336-526-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JOHNSON RIDGE RD",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212418",
            "telephone_number": "336-526-4500",
            "fax_number": "336-526-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERES",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003692",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary C Ball, LPN
• Lori Josey Barker, FNP
• Summer L Bartz, FNP
• Bayada Home Health Care, Inc.
• Mary-Emma Beres, M.D.
• Betancourt, Pinnix, Phelps, & Grimes DMD PLLC (Parkwood Dental)
• Emily Childers Billings
• Sandie Barrie Blackley, MA/CCC
• Blue Ridge Cardiology and Internal Medicine PA
• Blue Ridge Women's Center, PA

• Family Nurse Practitioner in Elkin, NC
• Providers in Elkin, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.