Tracy L Beecher, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R28756 Issued in ND

Practice address

4674 40TH Ave S Ste a
Fargo, ND 58104-4501

Phone

(701) 552-5855

Fax

(866) 728-8316

NPI assigned

Nov 6, 2006

Last updated

Aug 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1417026550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4674 40TH AVE S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044501",
            "telephone_number": "701-552-5855",
            "fax_number": "866-728-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4674 40TH AVE S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044501",
            "telephone_number": "701-552-5855",
            "fax_number": "866-728-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEECHER",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R28756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19850",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417026550",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayson Amy Bedient, DO
• Jennifer Lynn Bednar, LRD
• Andranik Bedross, MD
• Cheryl Beech, CDE
• Kayla Beecher
• Amanda Beehler, DO
• Leah Beekman, RN
• Muriz Beganovic
• Kaitlyn Margaret Behm
• Madelynn Behm, SLP

• Nurse Practitioner in Fargo, ND
• Providers in Fargo, ND by specialty
• Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.