Individual provider Active NPI

Derenda Marie Beasley, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1386120343
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
C-APN.0002135-C-NP Issued in CO
Practice address
1391 Speer Blvd Ste 360
Denver, CO 80204-2632
Phone
(303) 720-1845
NPI assigned
Jul 12, 2018
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-116363 AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209018576 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-RXN.0000972-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 161408 MT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0002135-C-NP CO Primary

Addresses

Primary practice location

1391 Speer Blvd Ste 360
Denver, CO 80204-2632

Mailing address

241 Anthony LN
Newton, AL 36352-8418
Phone (334) 648-8779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, SC, MT, FL, IL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20200806000215 AL Practitioner - Nurse Practitioner 3072934512 Reassigns benefits to 2 organizations
I20210208000174 SC Practitioner - Nurse Practitioner 3072934512 Reassigns benefits to 1 organization
I20210630001180 MT Practitioner - Nurse Practitioner 3072934512 Reassigns benefits to 1 organization
I20211119001512 FL Practitioner - Nurse Practitioner 3072934512 Reassigns benefits to 1 organization
I20220418002180 IL Practitioner - Nurse Practitioner 3072934512 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-116363ALMDFamily Nurse Practitioner
C-APN.0002135-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
C-RXN.0000972-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
161408MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rosecrance Inc Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Nov 2, 2020 Accepting new patients
Mastering Minds, LLC Psychiatric/Mental Health Current Accepting new patients
Thrive Counseling LLC CurrentSince Jan 1, 2022 Accepting new patients
Montana Rescue Mission CurrentSince Jun 1, 2021 Accepting new patients
McDonough County Hospital District CurrentSince Apr 1, 2022 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Feb 1, 2022 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Nov 2, 2020 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Sinnissippi Centers, Inc. Current Accepting new patients
SGMP Southland LLC CurrentSince Oct 1, 2020 Accepting new patients
Roscrance Inc. CurrentSince Jan 7, 2025 Accepting new patients
Sinnissippi Centers, Inc. CurrentSince Sep 8, 2023 Accepting new patients
McDonough County Hospital District CurrentSince Apr 1, 2022 Accepting new patients
Southland Behavioral Health Services LLC CurrentSince Nov 1, 2020 Accepting new patients
Rosecrance Inc CurrentSince Jan 7, 2025 Accepting new patients
Sinnissippi Centers, Inc. CurrentSince Sep 8, 2023 Accepting new patients
Strock Medical Group LLC PastSince Mar 3, 2024 Accepting new patients

Locations

700 E Cottonwood Rd
Dothan, AL 36301
Phone (334) 793-2120

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552

325 Il Route 2
Dixon, IL 61021
Phone (815) 288-6611

Rte 2 325 Illinois
Dixon, IL 61021

503 E Grant St
Macomb, IL 61455
Phone (309) 833-5917

1321 N 7th St
Rochelle, IL 61068
Phone (815) 562-3801

1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600

1601 University Dr
Rockford, IL 61107
Phone (815) 387-2500

2902 Minnesota Ave
Billings, MT 59101
Phone (406) 259-3800

1135 Gregg Hwy NW
Aiken, SC 29801
Phone (803) 641-7700

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

68 Pointe Cir
Ste 3201
Greenville, SC 29615
Phone (864) 479-1212

431 W Martintown Rd
North Augusta, SC 29841
Phone (803) 278-0880

4975 Lacross Rd
Ste 351
North Charleston, SC 29406
Phone (800) 309-1159

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1386120343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 ANTHONY LN",
            "city": "NEWTON",
            "state": "AL",
            "postal_code": "363528418",
            "telephone_number": "334-648-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 SPEER BLVD STE 360",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042632",
            "telephone_number": "303-720-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "DERENDA",
        "middle_name": "MARIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-116363",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209018576",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-RXN.0000972-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "161408",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0002135-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.