Individual provider Active NPI

Angel Shelton Beavers

  • Family Nurse Practitioner
  • Bedford, VA
National Provider Identifier
1720404205
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171546 Issued in VA
Practice address
1613 Oakwood St
Bedford, VA 24523-1213
Phone
(800) 554-5517
NPI assigned
Mar 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001178518 VA
Family Nurse Practitioner 363LF0000X 0024171546 VA Primary

Addresses

Primary practice location

1613 Oakwood St
Bedford, VA 24523-1213

Mailing address

6255 Bethany Road
Rustburg, VA 24588
Phone (434) 258-4426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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

Enrollment IDStateProvider typePAC IDDetails
I20140609001970 VA Practitioner - Nurse Practitioner 6507901469 Reassigns benefits to 4 organizations
I20150720002022 NC Practitioner - Nurse Practitioner 6507901469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savida Health PC 89 clinicians

Practice addresses (Care Compare)

100 Vicar PL
Suite C
Danville, VA 24540-1397
Phone (833) 356-4080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001178518VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jan 1, 2022 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Apogee Medical Group North Carolina CurrentSince May 15, 2015 Accepting new patients
Pai Participant 1 LLC CurrentSince Dec 19, 2022 Accepting new patients
Savida Health, PC CurrentSince Mar 6, 2025 Accepting new patients
Danville Physician Practices LLC CurrentSince Mar 31, 2014 Accepting new patients
Savida Health, PC CurrentSince Mar 6, 2025 Accepting new patients
Danville Physician Practices LLC CurrentSince Mar 31, 2014 Accepting new patients
Piedmont Day Surgery Center Inc Past Accepting new patients

Locations

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1613 Oakwood St
Bedford, VA 24523
Phone (540) 425-7800

767 Madison Rd
Ste 107
Culpeper, VA 22701
Phone (540) 850-0858

100 Vicar Pl
Ste C
Danville, VA 24540

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

4001 Prince William Pkwy
Ste 300
Woodbridge, VA 22192
Phone (703) 214-5825

Interoperability endpoints

  • Direct secure messaging: angel.beavers.1@24804.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1720404205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 BETHANY ROAD",
            "city": "RUSTBURG",
            "state": "VA",
            "postal_code": "24588",
            "telephone_number": "434-258-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 OAKWOOD ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231213",
            "telephone_number": "800-554-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "ANGEL",
        "middle_name": "SHELTON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-08",
        "last_updated": "2023-01-19",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001178518",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

Verify at the official NPI Registry.