Samuel Bean, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F3323451 Issued in NY

Practice address

2410 Ridgeway Ave
Rochester, NY 14626

Phone

(585) 723-2845

Fax

(585) 723-6877

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Finger Lakes Hand Surgery PLLC

  • Medical Specialty Clinic/Center
  • Williamson, NY
  • NPI 1801835244
  NPD (past)
• Wayne Regional Orthopaedics PLLC

  • Medical Specialty Clinic/Center
  • Williamson, NY
  • NPI 1154369098
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1548201577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14626",
            "telephone_number": "585-723-2845",
            "fax_number": "585-723-6877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4425 Old Ridge Rd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Williamson",
            "state": "NY",
            "postal_code": "145890897",
            "country_code": "US",
            "telephone_number": "315-589-2800",
            "fax_number": "315-589-4420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Linden St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146202327",
            "country_code": "US",
            "telephone_number": "585-723-2845",
            "fax_number": "585-723-6877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4425 Old Ridge Rd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Williamson",
            "state": "NY",
            "postal_code": "145890897",
            "country_code": "US",
            "telephone_number": "315-589-2800",
            "fax_number": "315-589-4420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAN",
        "first_name": "SAMUEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3323451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01942947",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P019332345",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy L. Beal, M.D.
• Laurie Beall, FNP
• Valerie Beaman, BCBA
• Suzanne Beamish, NP
• Lindsay Danielle Beamon-Scott, M.D.
• Stephen A Bean, R.PH.
• Andrena Beard, LMHC
• Arrelia Beard
• Heather Beason, MS, MFT
• Beatty Physical Therapy PLLC

• Family Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.