NPIMap

Individual provider Active NPI

Beverly Ann Christy, FNP-C

  • Family Nurse Practitioner
  • Hannibal, MO
National Provider Identifier
1821231002
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2011008570 Issued in MO
Practice address
100 Medical Dr
Hannibal, MO 63401-6877
Phone
(573) 221-5250
Fax
(573) 231-3706
NPI assigned
Apr 17, 2009
Last updated
Aug 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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 2011008570 MO Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saint Louis University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Health Center IncGroup PAC ID 9638570740, 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

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011008570MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Twain Association for Mental Health, Inc CurrentSince May 6, 2025 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Mark Twain Association for Mental Health, Inc. CurrentSince May 6, 2025 Accepting new patients
Henry County Health Center Inc CurrentSince Jul 28, 2024 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 1
Fort Madison, IA 52627
Phone (319) 376-2134

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

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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, MO

Sources for this page

Verify at the official NPI Registry.