Vera Ann Beadle, NP-C, PHMNP-BC
Individual provider Active NPI Family Nurse Practitioner · Devils Lake, ND
NPI 1811078298 · NPPES record last updated Jan 4, 2019
Key facts
- NPI
- 1811078298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R46932 (ND)
- Practice address
- 200 Highway 2 W
Devils Lake, ND 58301-3532 - Phone
- (701) 665-2200
- Fax
- (701) 665-2300
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lake Region Human Service Center
Practice addresses (Care Compare)
200 Hwy 2 W
Devils Lake, ND 58301-3532
Phone (701) 665-2200
Hospital & facility affiliations
- Altru Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- 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 |
|---|---|---|---|---|
| I20190213001180 | ND | Practitioner - Nurse Practitioner | 1254659543 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128553 | CO | MD | General Practice Registered Nurse |
| 4704201918 | MI | MD | Family Nurse Practitioner |
| R46932 | ND | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Region Behavioral Health Clinic | Current |
Accepting new patients |
Locations
600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644
200 Highway 2 W
Devils Lake, ND 58301
Phone (701) 665-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 4704201918 | MI | |
| General Practice Registered Nurse | 163WG0000X | 128553 | CO | |
| Family Nurse Practitioner | 363LF0000X | 4704201918 | MI | |
| Family Nurse Practitioner | 363LF0000X | R46932 | ND | Yes |
Addresses
Primary practice location
200 Highway 2 W
Devils Lake, ND 58301-3532
Mailing address
200 Highway 2 W
Devils Lake, ND 58301-3532
Phone (701) 665-2200
Other providers in Devils Lake, ND
- Tifani Bachmeier
- Tania Lee Barnhart
- Allyson Bartlett
- Julie K Baumgarn
- Michelle Marie Bazal
- Mark Christian Beatty
- Terra Lynn Becker
- Jann Belanus
- Terrence Neumann Belzer
- Cassidy N Bennett
All providers in Devils Lake, ND · Family Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2019. 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.