Sue Beach, NP
Individual provider Active NPI Nurse Practitioner · Jamestown, ND
NPI 1528080199 · NPPES record last updated Jan 15, 2026
Key facts
- NPI
- 1528080199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R25054 (ND)
- Practice address
- 2200 20TH St SW
Jamestown, ND 58401-7500 - Phone
- (701) 952-5142
- Fax
- (701) 952-1450
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050927000135 | ND | Practitioner - Nurse Practitioner | 7113951369 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R25054 | ND | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Carlsen Center | Current |
Accepting new patients |
Locations
701 3rd St NW
Jamestown, ND 58401
Phone (701) 252-3850
2200 20th St SW
Jamestown, ND 58401
Phone (701) 252-3850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R25054 | ND | Yes |
Addresses
Primary practice location
2200 20TH St SW
Jamestown, ND 58401-7500
Mailing address
2200 20TH St SW
Jamestown, ND 58401-7500
Phone (701) 952-5142
Other providers in Jamestown, ND
- Kathryn Marie Banet
- Kara J Bartlett
- Diane Kay Batsch
- Alyssa Baumann
- Morgan Baumgartner
- Tina Bear
- Samantha Lynn Beauchman
- Joseph Belanger
- Elizabeth Diane Belgarde
- Ronald Bendewald
All providers in Jamestown, ND · Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.