Individual provider Active NPI

Kelly Beaumont, CRNP

  • Family Nurse Practitioner
  • Doylestown, PA
National Provider Identifier
1609496918
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021417 Issued in PA
Practice address
599 W State St Ste 200a
Doylestown, PA 18901-2567
Phone
(215) 345-6050
Fax
(215) 345-6568
NPI assigned
Apr 16, 2020
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP021417 PA Primary

Addresses

Primary practice location

599 W State St Ste 200a
Doylestown, PA 18901-2567

Mailing address

599 W State St Ste 200
Doylestown Health Gastroenterology
Doylestown, PA 18901-2567
Phone (215) 345-6050

Other practice location 1

295 Buck Rd Ste 111
Holland, PA 18966-1749
Phone (215) 364-0770

Other practice location 2

23 Bustleton Pike
Feasterville Trevose, PA 19053-6446
Phone (215) 464-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200608002613 PA Practitioner - Nurse Practitioner 4981025491 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP021417PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates Current Accepting new patients
HR Physician Services CurrentSince Jun 1, 2020 Accepting new patients
Via Affiliates CurrentSince Aug 8, 2022 Accepting new patients
HR Physician Services CurrentSince Jun 1, 2020 Accepting new patients
Via Affiliates CurrentSince Aug 8, 2022 Accepting new patients
HR Physician Services Current Accepting new patients

Locations

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

599 W State St
Ste 200
Doylestown, PA 18901
Phone (215) 345-6050

23 Bustleton Pike
Ste 200
Feasterville Trevose, PA 19053
Phone (215) 464-0770

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1648 Huntingdon Pike
Fl 1
Meadowbrook, PA 19046
Phone (215) 938-2040

2189 2nd Street Pike
Ste 200
Newtown, PA 18940
Phone (215) 345-0105

295 Buck Rd
Ste 111
Southampton, PA 18966
Phone (215) 464-0770

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1609496918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 W STATE ST STE 200",
            "address_2": "DOYLESTOWN HEALTH GASTROENTEROLOGY",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012567",
            "telephone_number": "215-345-6050",
            "fax_number": "215-345-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 W STATE ST STE 200A",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012567",
            "telephone_number": "215-345-6050",
            "fax_number": "215-345-6568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Buck Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "PA",
            "postal_code": "189661749",
            "country_code": "US",
            "telephone_number": "215-364-0770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Bustleton Pike",
            "address_purpose": "LOCATION",
            "city": "Feasterville Trevose",
            "state": "PA",
            "postal_code": "190536446",
            "country_code": "US",
            "telephone_number": "215-464-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAUMONT",
        "first_name": "KELLY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.