Individual provider Active NPI

Anna Thea Noel Beckman, APRN

  • Nurse Practitioner
  • Scott City, KS
National Provider Identifier
1356701726
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-77125-092 Issued in KS
Practice address
201 Albert Ave
Scott City, KS 67871-6117
Phone
(620) 872-2187
Fax
(620) 872-7193
NPI assigned
Feb 29, 2016
Last updated
Feb 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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 53-77125-092 KS Primary

Addresses

Primary practice location

201 Albert Ave
Scott City, KS 67871-6117

Mailing address

201 Albert Ave
Scott City, KS 67871-6117
Phone (620) 872-2187

Other identifiers 2

IdentifierTypeStateIssuer
13-62613-092OtherKSSTATE LICENSE- RN
53-77125-092OtherKSSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20160405002056 KS Practitioner - Nurse Practitioner 7012215106 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-77125-092KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita County Health Center CurrentSince Dec 18, 2019 Accepting new patients
Wichita County Health Center CurrentSince Dec 18, 2019 Accepting new patients
Wichita County Health Center Current Accepting new patients

Locations

211 E Earl St
Leoti, KS 67861
Phone (620) 375-2222

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a23f1f77-4149-4903-a9ce-5c317ba44205/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1356701726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ALBERT AVE",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678716117",
            "telephone_number": "620-872-2187",
            "fax_number": "620-872-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ALBERT AVE",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678716117",
            "telephone_number": "620-872-2187",
            "fax_number": "620-872-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMAN",
        "first_name": "ANNA THEA",
        "middle_name": "NOEL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-77125-092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE- RN",
            "identifier": "13-62613-092",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "53-77125-092",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott City, KS

Sources for this page

Verify at the official NPI Registry.