Mary Lee Beck, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP5580 Issued in AZ

Practice address

2501 N Stockton Hill Rd Ste 108
Kingman, AZ 86401-4140

Phone

(928) 255-5050

Fax

(888) 571-5897

NPI assigned

Aug 31, 2012

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, AZ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yourtime Psychiatry and Medical Cannabis LLCGroup PAC ID 4082077201, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Yourtime Psychiatry and Medical Cannabis LLC

  • Clinic/Center
  • Maple Grove, MN
  • NPI 1164112090
  Medicare reassignment Care Compare group NPD
• Prescott Healthcare Solutions LLC

  dba Optima Medical

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  Medicare reassignment NPD
• Raghav LLC

  dba Carefirst Wellness Associates of Arizona

  • Multi-Specialty Clinic/Center
  • Surprise, AZ
  • NPI 1598125791
  Medicare reassignment NPD
• Southwest Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1023023603
  NPD (past)
• Southwest Behavioral Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kingman, AZ
  • NPI 1851610117
  NPD (past)

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1629327010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N STOCKTON HILL RD STE 108",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014140",
            "telephone_number": "928-255-5050",
            "fax_number": "888-571-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N STOCKTON HILL RD STE 108",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014140",
            "telephone_number": "928-255-5050",
            "fax_number": "888-571-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "MARY",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5580",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP5580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylene Barrus, P.T.
• Nathan Ray Bartholomew, DO
• Anne Marie Bathauer, MASTERS OF EDUCATION
• Battle Born Anesthesia Associates LTD
• Cortney Dawn Bautista, MS, LAC
• Jacob Daniel Beckstrand, DDS
• Brent J Bedke, MD
• Scott A Bell, RPH
• Blair Glee Berg, P.T.
• Annika Jeanette Bergeson, MSN, FNP-C

• Family Nurse Practitioner in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.

Verify at the official NPI Registry.