Individual provider Active NPI

Beverly McDowell, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Du Bois, PA
National Provider Identifier
1316830110
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP031571 Issued in PA
Practice address
33 Beaver Dr
Du Bois, PA 15801-2434
Phone
(717) 315-2890
NPI assigned
May 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP031571 PA Primary

Addresses

Primary practice location

33 Beaver Dr
Du Bois, PA 15801-2434

Mailing address

12 Courtland Rd
Camp Hill, PA 17011-6609
Phone (717) 315-2890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250709000172 PA Practitioner - Nurse Practitioner 5294249637 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clearfield-Jefferson Primary Care Associates PC CurrentSince Jul 1, 2025 Accepting new patients
Breathewell Psychiatry & Wellness LLC Psychiatric/Mental Health CurrentSince Jun 3, 2025 Accepting new patients
Lifeline Medical Center Psychiatric/Mental Health CurrentSince Sep 15, 2025 Accepting new patients

Locations

33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990

33 Beaver Dr
Dubois, PA 15801
Phone (717) 315-2890

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1316830110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 COURTLAND RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170116609",
            "telephone_number": "717-315-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012434",
            "telephone_number": "717-315-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "BEVERLY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP031571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.