Individual provider Active NPI

Tonya Deann Beineman, APN RNP

  • Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1306957006
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A01596 Issued in AR
Practice address
3811 Rogers Ave
Suite a
Fort Smith, AR 72903-3045
Phone
(479) 434-3131
Fax
(479) 434-3135
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A01596 AR Primary

Addresses

Primary practice location

3811 Rogers Ave
Suite a
Fort Smith, AR 72903-3045

Mailing address

PO Box 11316
Fort Smith, AR 72917-1316
Phone (479) 434-3131

Other identifiers 1

IdentifierTypeStateIssuer
141581758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20050317001107 AR Practitioner - Nurse Practitioner 7315992773 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
Telehealth
Offers telehealth services
Group practices
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians

Practice addresses (Care Compare)

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

3811 Rogers Ave
Suite a
Fort Smith, AR 72903-3045
Phone (479) 434-3131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A01596ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Waldron Past Accepting new patients
Mercy Medical Services, Inc Past Accepting new patients
St Edward Medical Services, Inc. Past Accepting new patients
St. Edward Mercy Medical Center Past Accepting new patients
Boston Heart Diagnostics Corporation PastSince Feb 13, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tonya.beineman.1@3313.direct.athenahealth.com

Organizations & group practices 7

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 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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1306957006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11316",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171316",
            "telephone_number": "479-434-3131",
            "fax_number": "479-434-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 ROGERS AVE",
            "address_2": "SUITE A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033045",
            "telephone_number": "479-434-3131",
            "fax_number": "479-434-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEINEMAN",
        "first_name": "TONYA",
        "middle_name": "DEANN",
        "credential": "APN RNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A01596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141581758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.