Active NPI
Tina Bean
- Family Nurse Practitioner
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5004725
- Practice address
- 906 S College Rd Unit B
Wilmington, NC 28403-4412 - Phone
- (910) 508-9885
- NPI assigned
- Aug 24, 2006
- Last updated
- Oct 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5004725 | NC | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5004725 | NC |
Addresses
Primary practice location
906 S College Rd Unit B
Wilmington, NC 28403-4412
Mailing address
194 Tomahawk Hwy
Harrells, NC 28444-9765
Phone (910) 532-4106
Other practice location 1
194 Tomahawk Hwy
Harrells, NC 28444-9765
Phone (910) 532-4106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
902 S College Rd
Suite 906
Wilmington, NC 28403-4412
Phone (910) 508-9885
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5004725 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri County Community Health Council Inc | Current | Accepting new patients | |
| Flourish Medical and Behavioral Health Group, PLLC | Family | Current | Accepting new patients |
Locations
3331 Easy St
Dunn, NC 28334
194 Tomahawk Hwy
Harrells, NC 28444
Phone (910) 532-4106
5531 Eleanor Roosevelt Ln
Willard, NC 28478
Phone (910) 285-0400
902 S College Rd
Ste 906
Wilmington, NC 28403
Phone (910) 508-9885
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACHCDD/Endpoint/ACHCDD
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.
-
- Family Nurse Practitioner
- Wilmington, NC
- NPI 1851163083
-
- Federally Qualified Health Center (FQHC)
- Four Oaks, NC
- NPI 1427087709
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health New Hanover Regional Medical Center
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
-
dba Novant Health Pender Medical Center
- Critical Access Hospital
- Burgaw, NC
- NPI 1295703130
-
dba Novant Health Pender Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Burgaw, NC
- NPI 1780653865
-
- General Acute Care Hospital
- Clinton, NC
- NPI 1609857432
-
- Home Health Agency
- Wilmington, NC
- NPI 1760470660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1700993698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 TOMAHAWK HWY",
"city": "HARRELLS",
"state": "NC",
"postal_code": "284449765",
"telephone_number": "910-532-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 S COLLEGE RD UNIT B",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034412",
"telephone_number": "910-508-9885"
}
],
"practiceLocations": [
{
"address_1": "194 Tomahawk Hwy",
"address_purpose": "LOCATION",
"city": "Harrells",
"state": "NC",
"postal_code": "284449765",
"country_code": "US",
"telephone_number": "910-532-4106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAN",
"first_name": "TINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5004725",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5004725",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.