Individual provider Active NPI

Mary Ellen Beegle, D.O.

  • Psychiatry Physician
  • Sedalia, MO
National Provider Identifier
1659488419
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2006012200 Issued in MO
Practice address
119 East 4TH Street
Sedalia, MO 65301
Phone
(660) 553-5298
Fax
(660) 553-5301
NPI assigned
Aug 25, 2006
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2006012200 MO Primary

Addresses

Primary practice location

119 East 4TH Street
Sedalia, MO 65301

Mailing address

119 East 4TH Street
Sedalia, MO 65301
Phone (660) 553-5298

Other identifiers 2

IdentifierTypeStateIssuer
P00968639OtherMORR MEDICARE
44394018OtherMOBCBS KC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100302000065 MO Practitioner - Psychiatry 8426096777 Practice locations: Sedalia, MO

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

119 E 4TH St
Sedalia, MO 65301-4401
Phone (660) 553-5298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychiatric Care Psychiatry PastSince Aug 28, 2000 Accepting new patients
Transformative Effects LLC Past Accepting new patients
Prairie St Johns Past Accepting new patients
PSJ Acquisition LLC Psychiatry Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1659488419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 EAST 4TH STREET",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "65301",
            "telephone_number": "660-553-5298",
            "fax_number": "660-553-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 EAST 4TH STREET",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "65301",
            "telephone_number": "660-553-5298",
            "fax_number": "660-553-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEGLE",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2006012200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00968639",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "44394018",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

Verify at the official NPI Registry.