Connie Maxwell-Beal

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

SP023700 Issued in PA

Practice address

3450 Norwood PL
Holland, PA 18966-2910

Phone

(609) 558-8629

NPI assigned

Aug 8, 2021

Last updated

Aug 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Partners Plus PLLCGroup PAC ID 4284155425, 125 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

51.39 of 100Reported as group

Quality

64.84

Promoting interoperability

0

Improvement activities

0

Cost

73.11

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Healing Partners Plus PLLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1063217545

  PA

  Medicare reassignment Care Compare group NPD
• Afra Home PLLC

  • Wound Care Registered Nurse
  • Springfield, PA
  • NPI 1780450734
  Medicare reassignment NPD
• Consonant Healing Medical Associates

  • Surgery Physician
  • Silver Spring, MD
  • NPI 1588122535

  PA

  Medicare reassignment NPD
• Kane Wound Care LLC

  dba d/b/a Princeton Wound Care Center

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1275869802

  PA

  Medicare reassignment NPD
• Maxximum Wound Solutions LLC

  • Medical Specialty Clinic/Center
  • Hamilton, NJ
  • NPI 1447058110
  NPD Authorized official
• Consonant Healing Medical Associates of NJ LLC

  • Surgery Physician
  • Ridgefield Park, NJ
  • NPI 1508477399
  Medicare reassignment

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628380800000",
    "number": "1386318731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 NORWOOD PL",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189662910",
            "telephone_number": "609-558-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 NORWOOD PL",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189662910",
            "telephone_number": "609-558-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL-BEAL",
        "first_name": "CONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-08",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01165900",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP023700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Makarenko
• Marla Cohen Manstein, M.A.
• Stefanie Marczuk, MS, RD, LDN
• Marriage and Family Resource Center
• Stacy Ann Maurer, LPC
• Delaney McDonnell
• MDM Therapy and Consulting Services, LLC
• Medusa Home Care LLC
• Bonnie Millman, RPH
• Gary Nack, D.D.S.

• Gerontology Nurse Practitioner in Holland, PA
• Providers in Holland, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.