Individual provider Active NPI

Beth Horseman, FNP

  • Nurse Practitioner
  • Leavenworth, KS
National Provider Identifier
1316507205
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
78863 Issued in KS
Practice address
2024 Shawnee St
Leavenworth, KS 66048-1683
Phone
(913) 683-8445
NPI assigned
Jun 13, 2019
Last updated
Sep 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 78863 KS Primary
Family Nurse Practitioner 363LF0000X 78863 KS
Family Nurse Practitioner 363LF0000X F06190102 KS

Addresses

Primary practice location

2024 Shawnee St
Leavenworth, KS 66048-1683

Mailing address

2024 Shawnee St
Leavenworth, KS 66048-1683
Phone (913) 683-8445

Other practice location 1

3550 So 4th St
Ste B
Leavenworth, KS 66048
Phone (913) 680-6200

Other names 1

  • Beth Darge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190729002378 MO Practitioner - Nurse Practitioner 5698001659 Reassigns benefits to 1 organization
I20191210002171 KS Practitioner - Nurse Practitioner 5698001659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Complete Family Care LLCGroup PAC ID 6406884436, 4 clinicians
Urgent Care Express LLCGroup PAC ID 5294829248, 11 clinicians

Practice addresses (Care Compare)

100 E Kansas St
Lansing, KS 66043-1610
Phone (913) 758-0283

1004 Progress Dr
Suite 200
Lansing, KS 66043-6323
Phone (913) 651-3111

4776 Verona Dr
Saint Joseph, MO 64506-5030
Phone (816) 396-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.08 of 100Reported as group
Quality
57.94
Promoting interoperability
99
Improvement activities
40
Cost
73.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06190102KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Oct 1, 2020 Accepting new patients
Urgent Care Express LLC CurrentSince Jun 19, 2019 Accepting new patients
Complete Family Care, LLC CurrentSince Mar 3, 2025 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Oct 1, 2020 Accepting new patients
Medevac Midamerica Inc Past Accepting new patients
Saint Luke's Neighborhood Clinics, LLC Past Accepting new patients
Gladstone Urgent Care, LLC PastSince Jan 7, 2024 Accepting new patients

Locations

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

1004 Progress Dr
Ste 200
Lansing, KS 66043
Phone (913) 651-3111

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

3500 S 4th St
Leavenworth, KS 66048
Phone (913) 469-1411

3550 S 4th St
Ste 110
Leavenworth, KS 66048
Phone (913) 651-3300

3550 S 4th St
Ste B
Leavenworth, KS 66048
Phone (913) 680-6200

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

7642 N Oak Trfy
Kansas City, MO 64118
Phone (816) 468-1411

4776 Verona Dr
Saint Joseph, MO 64506
Phone (816) 396-9500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15598/brand/1/csg/1/fhir/r4

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, 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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1316507205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 SHAWNEE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481683",
            "telephone_number": "913-683-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 SHAWNEE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481683",
            "telephone_number": "913-683-8445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 So 4th St",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "66048",
            "country_code": "US",
            "telephone_number": "913-680-6200",
            "fax_number": "913-680-6348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORSEMAN",
        "first_name": "BETH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "78863",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "78863",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "F06190102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "DARGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.