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Beverly Ann Christy, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Hannibal, MO

NPI 1821231002 · NPPES record last updated Aug 6, 2018

Key facts

NPI
1821231002
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
2011008570 (MO)
Practice address
100 Medical Dr
Hannibal, MO 63401-6877
Phone
(573) 221-5250
Fax
(573) 231-3706
NPI assigned
Apr 17, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 11

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 5

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Saint Louis University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Twain Association for Mental Health Inc (25 clinicians)
Henry County Health Center Inc (52 clinicians)

Practice addresses (Care Compare)

154 Forrest Dr
Hannibal, MO 63401-5511
Phone (573) 221-2120

407 S White St
Mount Pleasant, IA 52641-2263
Phone (319) 385-3141

Hospital & facility affiliations

  • Advanced Home Health Care Inc Home health agency · Burlington, IA · CCN 167283
  • Henry County Health Center Hospital · Mount Pleasant, IA · CCN 161356
  • Southeast Iowa Regional Medical Center Hospital · West Burlington, IA · CCN 160057
  • Blessing Hospital Hospital · Quincy, IL · CCN 140015

Merit-based Incentive Payment System (MIPS)

Final score
77.06 of 100 (group)
Quality
64.36
Promoting interoperability
81
Improvement activities
40
Cost
75.01

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IA, MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090519000603 IA Practitioner - Nurse Practitioner 0749339893 Reassigns benefits to 2 organizations
I20110517000153 MO Practitioner - Nurse Practitioner 0749339893 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Twain Association for Mental Health, Inc. Current
since May 6, 2025		 Accepting new patients
Mark Twain Association for Mental Health, Inc Current
since May 6, 2025		 Accepting new patients
Henry County Health Center Inc Current
since Jul 28, 2024		 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. Current
since Jul 1, 2021		 Accepting new patients
Henry County Health Center, Inc. Past Accepting new patients

Locations

5409 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530

5409 Avenue O
Ste 103
Fort Madison, IA 52627
Phone (319) 372-6280

5409 Avenue O
Ste 1
Fort Madison, IA 52627
Phone (319) 376-2134

1603 Morgan St
Ste 2
Keokuk, IA 52632
Phone (319) 524-6274

3285 Main St
Keokuk, IA 52632
Phone (319) 524-6274

407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

154 Forrest Dr
Hannibal, MO 63401
Phone (573) 221-2120

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2011008570 MO Yes

Addresses

Primary practice location

100 Medical Dr
Hannibal, MO 63401-6877

Mailing address

RR 2 Box 22a
Revere, MO 63465-9610
Phone (660) 948-3027

Other identifiers

IdentifierTypeStateIssuer
1821231002MedicaidMO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2018.

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1821231002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 22A",
            "city": "REVERE",
            "state": "MO",
            "postal_code": "634659610",
            "telephone_number": "660-948-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016877",
            "telephone_number": "573-221-5250",
            "fax_number": "573-231-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTY",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2011008570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821231002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, MO

All providers in Hannibal, MO · Family Nurse Practitioner in Missouri

Sources for this page

Verify at the official NPI Registry.