Individual provider Active NPI

Michelle Beard, N,P.

  • Acute Care Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1285604132
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024164605 Issued in VA
Practice address
11200 Governor Manly Way Ste 102
Raleigh, NC 27614-7360
Phone
(919) 570-7550
Fax
(919) 570-7551
NPI assigned
Jan 24, 2006
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 5009397 NC
Acute Care Nurse Practitioner 363LA2100X 0024164605 VA Primary

Addresses

Primary practice location

11200 Governor Manly Way Ste 102
Raleigh, NC 27614-7360

Mailing address

11200 Governor Manly Way Ste 102
Raleigh, NC 27614-7360
Phone (919) 570-7550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbeard294786@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170619001124 NC Practitioner - Nurse Practitioner 8224045265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

2901 Blue Ridge Rd
Raleigh, NC 27607-6423
Phone (919) 784-3105

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5009397NCMDAcute Care Nurse Practitioner
0024164605VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital, Inc CurrentSince May 23, 2017 Accepting new patients
Rex Hospital Inc CurrentSince May 23, 2017 Accepting new patients
North Carolina MG, LLC CurrentSince Nov 1, 2025 Accepting new patients
Rex Hospital Inc Current Accepting new patients
University of Virginia Physicians Group PastSince Nov 1, 2017 Accepting new patients

Locations

11200 Governor Manly Way
Ste 102
Raleigh, NC 27614
Phone (919) 570-7550

4420 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 784-1097

2901 Blue Ridge Rd
Raleigh, NC 27607
Phone (919) 784-3105

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

11200 Governor Manly Way
Raleigh, NC 27614
Phone (919) 570-7500

Interoperability endpoints

  • Direct secure messaging: mbeard181983@direct.healthsystem.virginia.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1285604132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147360",
            "telephone_number": "919-570-7550",
            "fax_number": "919-570-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147360",
            "telephone_number": "919-570-7550",
            "fax_number": "919-570-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "MICHELLE",
        "credential": "N,P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5009397",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024164605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbeard294786@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "11200 Governor Manly Way Ste 102",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276147360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.