Individual provider Active NPI

Harisa Beba, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1801581772
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0100827-C-NP Issued in CO
Practice address
5615 Constitution Ave
Colorado Springs, CO 80915-1218
Phone
(719) 465-2819
NPI assigned
Apr 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0100827-C-NP CO Primary

Addresses

Primary practice location

5615 Constitution Ave
Colorado Springs, CO 80915-1218

Mailing address

5615 Constitution Ave
Colorado Springs, CO 80915-1218
Phone (719) 465-2819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231114000404 CO Practitioner - Nurse Practitioner 6305201914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milestone Psychiatry IncGroup PAC ID 5092196485, 2 clinicians

Practice addresses (Care Compare)

5615 Constitution Ave
Colorado Springs, CO 80915-1218
Phone (719) 465-2819

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Psychiatry Inc Psychiatric/Mental Health CurrentSince Nov 12, 2023 Accepting new patients
Milestone Psychiatry Inc. Psychiatric/Mental Health CurrentSince Nov 12, 2023 Accepting new patients

Locations

5615 Constitution Ave
Colorado Springs, CO 80915
Phone (719) 465-2819

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1801581772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 CONSTITUTION AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151218",
            "telephone_number": "719-465-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 CONSTITUTION AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151218",
            "telephone_number": "719-465-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBA",
        "first_name": "HARISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0100827-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.