Active NPI
Angel Shelton Beavers
- Family Nurse Practitioner
- Bedford, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024171546
- 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
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 |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0001178518 | VA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | Accepting new patients | |
| Greensboro Pathology, LLC | Current | Accepting new patients | |
| Apogee Medical Group North Carolina | Current | Accepting new patients | |
| Pai Participant 1 LLC | Current | Accepting new patients | |
| Savida Health, PC | Current | Accepting new patients | |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Savida Health, PC | Current | Accepting new patients | |
| Danville Physician Practices LLC | Current | 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
- angel.beavers.1@24804.direct.athenahealth.com
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.