Individual provider Active NPI

Tashina Mariah Bevill, FNP-C

  • Family Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1760065361
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1020941 Issued in TX
Practice address
5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone
(888) 725-5422
Fax
(903) 501-1100
NPI assigned
Apr 30, 2021
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1020941 TX Primary

Addresses

Primary practice location

5803 Stoneridge Dr
Texarkana, TX 75503-1461

Mailing address

5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (888) 725-5422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 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
I20210603002313 TX Practitioner - Nurse Practitioner 4183023674 Reassigns benefits to 1 organization
I20211113000038 AR Practitioner - Nurse Practitioner 4183023674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Express, LLPGroup PAC ID 9739131442, shared by 7 NPIs, 68 clinicians

Practice addresses (Care Compare)

1021 W Collin Raye Dr
Dequeen, AR 71832-2027
Phone (870) 518-0028

3515 Richmond Rd
Texarkana, TX 75503-0711
Phone (903) 791-9355

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
71.48
Promoting interoperability
100
Improvement activities
40
Cost
75.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Express, LLP CurrentSince Jan 24, 2022 Accepting new patients
Pallicare, Inc CurrentSince Jul 2, 2026 Accepting new patients
Healthcare Express, LLP Current Accepting new patients
Healthcare Express, LLP Current Accepting new patients
Healthcare Express, LLP CurrentSince Jan 24, 2022 Accepting new patients
Healthcare Express, LLP Past Accepting new patients

Locations

23150 Interstate 30 N
Bryant, AR 72022
Phone (501) 888-9047

1021 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 518-0018

11819 Maumelle Blvd
North Little Rock, AR 72113
Phone (501) 771-9355

1554 Country Club Rd
Sherwood, AR 72120
Phone (501) 500-1012

125 Arkansas Blvd
Texarkana, AR 71854
Phone (870) 772-9355

2760 Washington Dr
Ste 100
Norman, OK 73069
Phone (405) 928-9885

106 US Highway 59
Atlanta, TX 75551
Phone (903) 769-9355

1509 W Loop 281
Longview, TX 75604
Phone (903) 759-9355

711 E End Blvd S
Marshall, TX 75670
Phone (903) 938-4363

1004 S Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 717-3418

5220 SE Loop 286
Paris, TX 75460
Phone (903) 401-8349

3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270

4701 W 7th St
Wake Village, TX 75501
Phone (903) 831-4065

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1760065361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 STONERIDGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031461",
            "telephone_number": "888-725-5422",
            "fax_number": "903-501-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 STONERIDGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031461",
            "telephone_number": "888-725-5422",
            "fax_number": "903-501-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVILL",
        "first_name": "TASHINA",
        "middle_name": "MARIAH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.