Active NPI
Beverly Ann Collins, FNP
- Gerontology Nurse Practitioner
- Hendersonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 0006-00107
- Practice address
- 510 Balsam Rd
Hendersonville, NC 28792-5703 - Phone
- (828) 693-4431
- Fax
- (828) 693-4431
- NPI assigned
- Jul 8, 2005
- Last updated
- Jun 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 0006-00107 | NC | Primary |
Addresses
Primary practice location
510 Balsam Rd
Hendersonville, NC 28792-5703
Mailing address
PO Box 2570
Hendersonville, NC 28793-2570
Phone (828) 693-4431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500010194 | Other | RAILROAD MEDICARE B |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1845 W Redlands Blvd
Suite 104
Redlands, CA 92373-3125
Phone (909) 244-7430
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.01 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 73.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0006-00107 | NC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrasco Podiatry Corporation | Current | Accepting new patients | |
| Providence Podiatry Care, Inc | Current | Accepting new patients | |
| Senior Medical Associates, Inc. | Current | Accepting new patients | |
| WNC Surgical Associates PLLC | Past | Accepting new patients |
Locations
10621 Church St
Ste 120
Rch Cucamonga, CA 91730
Phone (909) 944-0481
2810 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 299-1419
473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- San Bernardino, CA
- NPI 1376202986
-
- Podiatrist
- Rancho Cucamonga, CA
- NPI 1043339260
-
- Geriatric Medicine (Internal Medicine) Physician
- San Diego, CA
- NPI 1629253505
-
- Vascular Surgery Physician
- Hendersonville, NC
- NPI 1417123712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1477551919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2570",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287932570",
"telephone_number": "828-693-4431",
"fax_number": "828-693-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 BALSAM RD",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287925703",
"telephone_number": "828-693-4431",
"fax_number": "828-693-4431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "BEVERLY",
"middle_name": "ANN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "0006-00107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE B",
"identifier": "500010194",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, NC
- Sarah Patricia Colgan, MA, LCMHC-A
- Timothy Christopher Colgrove, COF
- Collaborative Occupational Therapy Services, LLC
- Ramil Marianito Collado
- Colleen S. Allen, D.D.S., PLLC (Autumn Dental)
- Brianna Marie Collins
- Shawn Collins, CRNA
- Jamie Lynette Colvard, MS, CCC-SLP
- Common Ground Support
- Compassionate Home Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.