Individual provider Active NPI

Denise Beard

  • Adult Health Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1407227135
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
77722 Issued in OK
Practice address
1828 NW 157TH St
Edmond, OK 73013-1404
Phone
(405) 974-8374
NPI assigned
Oct 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 77722 OK Primary

Addresses

Primary practice location

1828 NW 157TH St
Edmond, OK 73013-1404

Mailing address

1828 NW 157TH St
Edmond, OK 73013-1404
Phone (405) 974-8374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, MI2 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
I20151215000814 OK Practitioner - Nurse Practitioner 3870894975 Reassigns benefits to 1 organization
I20250813004132 MI Practitioner - Nurse Practitioner 3870894975

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mimwc,IncGroup PAC ID 8921544693, 4 clinicians

Practice addresses (Care Compare)

31300 Rexwood St
Suite 3a
Farmington Hills, MI 48334-1464
Phone (858) 621-1514

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Oklahoma, PLLC CurrentSince Nov 5, 2018 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

2716 W Gore Blvd
Ste C
Lawton, OK 73505
Phone (580) 357-3280

Interoperability endpoints

  • Direct secure messaging: ms_dbeard20@landmarkhealth-direct.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1407227135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 NW 157TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131404",
            "telephone_number": "405-974-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 NW 157TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131404",
            "telephone_number": "405-974-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "77722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.