Individual provider Active NPI

Beth Markens, NP

  • Nurse Practitioner
  • Agawam, MA
National Provider Identifier
1437525409
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2290986 Issued in MA
Practice address
230 Main St
Agawam, MA 01001-1838
Phone
(413) 789-6800
Fax
(413) 796-6821
NPI assigned
Aug 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 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 2290986 MA Primary

Addresses

Primary practice location

230 Main St
Agawam, MA 01001-1838

Mailing address

230 Main St
Agawam, MA 01001-1838
Phone (413) 789-6800

Other identifiers 1

IdentifierTypeStateIssuer
110107503/AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20151019000333 MA Practitioner - Nurse Practitioner 1456660257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10 Denniston PL
Womens Health
Northampton, MA 01060-2052
Phone (413) 586-9866

30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2441

Hospital & facility affiliations

  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2290986MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jan 1, 2022 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Locations

15 Atwood Dr
Ste 201
Northampton, MA 01060
Phone (413) 584-4637

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1437525409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MAIN ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010011838",
            "telephone_number": "413-789-6800",
            "fax_number": "413-796-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAIN ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010011838",
            "telephone_number": "413-789-6800",
            "fax_number": "413-796-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKENS",
        "first_name": "BETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "2290986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110107503/A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Agawam, MA

Sources for this page

Verify at the official NPI Registry.