Jeffrey Nathaniel Beltz
Individual provider Active NPI Certified Registered Nurse Anesthetist · New Bern, NC
NPI 1689210593 · NPPES record last updated Jan 13, 2020
Key facts
- NPI
- 1689210593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 6306 (NC)
- Practice address
- 2000 Neuse Blvd
New Bern, NC 28560-3449 - Phone
- (252) 633-8111
- NPI assigned
- Nov 26, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolinaeast Medical Center
Carolinaeast Physicians
Practice addresses (Care Compare)
2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8111
532 Webb Blvd
Havelock, NC 28532-2042
Phone (252) 633-2712
640 McCarthy Blvd
New Bern, NC 28562-5231
Phone (252) 276-7100
Hospital & facility affiliations
- Carolina East Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.61 of 100
- Quality
- 57.39
- Promoting interoperability
- 68
- Improvement activities
- 40
- Cost
- 77.97
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200421000458 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3476983164 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN674228 | PA | MD | Critical Care Medicine Registered Nurse |
| 6306 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinaeast Physicians | Current | Accepting new patients | |
| Carolinaeast Medical Center | Current |
Accepting new patients | |
| Carolinaeast Physicians | Current |
Accepting new patients | |
| Carolinaeast Physicians | Current |
Accepting new patients | |
| Carolinaeast Medical Center | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088
2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104
137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN674228 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 6306 | NC | Yes |
Addresses
Primary practice location
2000 Neuse Blvd
New Bern, NC 28560-3449
Mailing address
909 Taberna Cir
New Bern, NC 28562-7050
Phone (412) 443-3887
NPI Registry JSON
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1689210593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 TABERNA CIR",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285627050",
"telephone_number": "412-443-3887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NEUSE BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285603449",
"telephone_number": "252-633-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELTZ",
"first_name": "JEFFREY",
"middle_name": "NATHANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-26",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "PA",
"license": "RN674228",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "6306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
- Alicia Marie Bell
- Ashley Bell
- Edwin Lillington Bell
- Shelbi Belokur
- Beloved Therapy Services PLLC
- Benchmark Physical Therapy of NC, LLC
- Benchmark Physical Therapy of NC, LLC
- Keith Wilkinson Bennert
- Andrea P. Bennett
- Sandra O Bennett
All providers in New Bern, NC · Certified Registered Nurse Anesthetist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.