Individual provider Active NPI

Beverly Fugler

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1801634589
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36582 Issued in TN
Practice address
1300 Wesley Dr
Memphis, TN 38116-6499
Phone
(901) 516-3700
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 36582 TN Primary

Addresses

Primary practice location

1300 Wesley Dr
Memphis, TN 38116-6499

Mailing address

40157 Barbara Rd
Prairieville, LA 70769-5233
Phone (225) 328-5387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240906000660 TN Practitioner - Nurse Practitioner 4183164007 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist South Emergency Physicians, PLLCGroup PAC ID 6406205608, 48 clinicians
Germantown Emergency Physicians, PLLCGroup PAC ID 7214386812, 29 clinicians

Practice addresses (Care Compare)

1300 Wesley Dr
Memphis, TN 38116-6426
Phone (901) 516-3700

7691 Poplar Ave
Germantown, TN 38138-3904
Phone (901) 516-6000

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36582TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist University Emergency Physicians PLLC CurrentSince Jul 17, 2024 Accepting new patients
Methodist North Emergency Physicians, PLLC CurrentSince Jul 17, 2024 Accepting new patients
Methodist South Emergency Physicians, PLLC CurrentSince Jul 17, 2024 Accepting new patients
Germantown Emergency Physicians, PLLC CurrentSince Jul 17, 2024 Accepting new patients

Locations

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

Interoperability endpoints

  • Direct secure messaging: bfugler68203@mlh.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1801634589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40157 BARBARA RD",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707695233",
            "telephone_number": "225-328-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WESLEY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166499",
            "telephone_number": "901-516-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGLER",
        "first_name": "BEVERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.