Beverly Aiello, APRN - CNP
Individual provider Active NPI Family Nurse Practitioner · Thomas, OK
NPI 1760915946 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1760915946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 105895 (OK)
- Practice address
- 100 S 2ND St
Thomas, OK 73669-8201 - Phone
- (580) 341-0870
- NPI assigned
- Apr 5, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Roger Mills County Hospital Authority
Practice addresses (Care Compare)
P O Box
Suite 490
Cheyenne, OK 73628-0490
Hospital & facility affiliations
- Roger Mills Memorial Hospital
- Roger Mills Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170628001256 | OK | Practitioner - Nurse Practitioner | 2264701671 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0105895 | OK | MD | Registered Nurse |
| 201601668RN | OR | MD | Registered Nurse |
| 105895 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Medical Group Practice, LLC | Current |
Accepting new patients | |
| Williams Medical Group Practice, LLC | Current |
Accepting new patients | |
| Roger Mills County Hospital Authority | Past | Accepting new patients | |
| Roger Mills County Hospital Authority | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Roger Mills County Hospital Authority | Past | Accepting new patients |
Locations
411 W Grand Ave
Chickasha, OK 73018
Phone (405) 224-0053
411 W 3rd St
Elk City, OK 73644
Phone (580) 303-9293
220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355
1303 N Washington St
Weatherford, OK 73096
Phone (580) 772-2820
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201601668RN | OR | |
| Registered Nurse | 163W00000X | R0105895 | OK | |
| Family Nurse Practitioner | 363LF0000X | 105895 | OK | Yes |
Addresses
Primary practice location
100 S 2ND St
Thomas, OK 73669-8201
Mailing address
100 S 2ND St
Thomas, OK 73669-8201
Phone (580) 341-0870
Other practice location 1
PO Box 490
Cheyenne, OK 73628-0490
Phone (580) 497-3333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105895 | Other | OK | APRN-CNP |
| R0105895 | Other | OK | OKLAHOMA RN LICENSE |
Other providers in Thomas, OK
- Robyn Marie Adkins
- Jessica Anthony
- Body Works Physical Therapy & Wellness, LLC
- Sarah Brewer
- Shannon Suzann Cagg
- Julie Ann Cason
All providers in Thomas, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. 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.
- Order and Referring (CMS).
- 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.