Individual provider Active NPI

Ann Marie Beadle, ACNP

  • Acute Care Nurse Practitioner
  • Lebanon, TN
National Provider Identifier
1679574180
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
120773 Issued in TN
Practice address
100 Physicians Way
Suite 110
Lebanon, TN 37090-8102
Phone
(615) 547-6700
Fax
(615) 547-6707
NPI assigned
Aug 9, 2005
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 120773 TN Primary

Addresses

Primary practice location

100 Physicians Way
Suite 110
Lebanon, TN 37090-8102

Mailing address

PO Box 370
Fortson, GA 31808-0370

Other identifiers 1

IdentifierTypeStateIssuer
3632835MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040227000936 TN Practitioner - Nurse Practitioner 9436045747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

115 Willard Hagan Dr
Lebanon, TN 37090-1023
Phone (615) 547-6700

125 Willard Hagan Dr
Lebanon, TN 37090-1023
Phone (615) 889-3340

394 Harding PL
Nashville, TN 37211-3980

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.18 of 100Reported as individual
Quality
64.33
Promoting interoperability
100
Improvement activities
30
Cost
75.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120773TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedics & Sports Medicine, PLC CurrentSince Nov 25, 2013 Accepting new patients
Premier Orthopaedics & Sports Medicine PLC CurrentSince Nov 25, 2013 Accepting new patients

Locations

5651 Frist Blvd
Ste 700
Hermitage, TN 37076
Phone (615) 860-1580

100 Physicians Way
Ste 110
Lebanon, TN 37090
Phone (615) 449-1100

100 Physicians Way
Ste 120
Lebanon, TN 37090
Phone (615) 547-6700

115 Willard Hagan Dr
Ste 100
Lebanon, TN 37090
Phone (615) 547-6700

1616 W Main St
Ste 200
Lebanon, TN 37087
Phone (615) 443-2520

1321 Murfreesboro Pike
Ste 510
Nashville, TN 37217
Phone (615) 366-8890

394 Harding Pl
Ste 200
Nashville, TN 37211
Phone (615) 834-4482

300 Stonecrest Blvd
Ste 200
Smyrna, TN 37167
Phone (615) 220-4747

Interoperability endpoints

  • Direct secure messaging: ann.beadle.1@321.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1679574180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "fax_number": "706-494-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PHYSICIANS WAY",
            "address_2": "SUITE 110",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370908102",
            "telephone_number": "615-547-6700",
            "fax_number": "615-547-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEADLE",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "120773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3632835",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.