Amy Beasley, CRNP
Individual provider Active NPI Family Nurse Practitioner · Foley, AL
NPI 1346978053 · NPPES record last updated Aug 10, 2022
Key facts
- NPI
- 1346978053
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-118064 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Family Care, LLC
Mid-South Home Care Services LLC
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
- Centerwell Home Health
- Amedisys Home Health of Foley
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240905001021 | AL | Practitioner - Nurse Practitioner | 3678013687 | Reassigns benefits to 2 organizations |
| I20250106003914 | FL | Practitioner - Nurse Practitioner | 3678013687 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-118064 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Florida, LLC | Current |
Accepting new patients | |
| Mid-South Home Care Services, LLC | Current |
Accepting new patients | |
| American Family Care, LLC | Current |
Accepting new patients | |
| Mid-South Home Care Services, LLC | Current | Accepting new patients | |
| Mid-South Home Care Services, LLC | Current |
Accepting new patients | |
| American Family Care, 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) 792-3200
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 1-118064 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-118064 | AL | Yes |
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
Other providers in Foley, AL
- Allison Emily Bates
- Timothy Norman Baxter
- Bay Eyes Spectacular Inc.
- Bayside Orthopedic & Rehabilitation Center PC
- Beach Life Chiropractic LLC
- Bayley Beasley
- Jaleah Beckley
- Roy R Bell
- Deanne Margaret Lim Bellosa
- Benchmark Physical Therapy of Alabama, LLC
All providers in Foley, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.