Individual provider Active NPI

Amy Beasley, CRNP

  • Family Nurse Practitioner
  • Foley, AL
National Provider Identifier
1346978053
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-118064 Issued in AL
Practice address
1628 N McKenzie St Ste 102
Foley, AL 36535-2275
Phone
(251) 947-1083
Fax
(251) 947-1084
NPI assigned
Aug 10, 2022
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-118064 AL Primary
General Practice Registered Nurse 163WG0000X 1-118064 AL

Addresses

Primary practice location

1628 N McKenzie St Ste 102
Foley, AL 36535-2275

Mailing address

PO Box 2048
Mobile, AL 36652-2048
Phone (251) 432-4117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 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
I20240905001021 AL Practitioner - Nurse Practitioner 3678013687 Reassigns benefits to 2 organizations
I20250106003914 FL Practitioner - Nurse Practitioner 3678013687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians
Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians

Practice addresses (Care Compare)

25775 Perdido Beach Blvd
Suite E 5
Orange Beach, AL 36561-6602
Phone (251) 974-3004

2800 Dauphin St
Suite 103
Mobile, AL 36606-2400
Phone (251) 478-2789

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC CurrentSince Oct 21, 2024 Accepting new patients
Afc Florida, LLC CurrentSince Sep 19, 2024 Accepting new patients
American Family Care, LLC CurrentSince May 26, 2024 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Oct 21, 2024 Accepting new patients
American Family Care, LLC CurrentSince May 26, 2024 Accepting new patients
Mid-South Home Care Services, LLC Current Accepting new patients

Locations

2431 W Main St
Ste 1102
Dothan, AL 36301
Phone (334) 699-5780

2740 Headland Ave
Dothan, AL 36303
Phone (334) 944-2275

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

2800 Dauphin St
Ste 103
Mobile, AL 36606
Phone (251) 478-2789

2570 Berryhill Rd
Montgomery, AL 36117
Phone (334) 323-1330

25775 Perdido Beach Blvd
Ste E5
Orange Beach, AL 36561
Phone (251) 974-3004

4713 Highway 90
Pace, FL 32571
Phone (850) 304-0694

15415 Panama City Beach Pkwy
Panama City Beach, FL 32413
Phone (850) 588-3589

Organizations & group practices 6

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1346978053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2048",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366522048",
            "telephone_number": "251-432-4117",
            "fax_number": "251-436-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 N MCKENZIE ST STE 102",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352275",
            "telephone_number": "251-947-1083",
            "fax_number": "251-947-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-118064",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AL",
            "license": "1-118064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.