Individual provider Active NPI

Donna McInnis Beck, CRNP

  • Family Nurse Practitioner
  • Elberta, AL
National Provider Identifier
1861785693
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-066211 Issued in AL
Practice address
24980 State St
Elberta, AL 36530-2573
Phone
(251) 986-7301
Fax
(251) 986-5927
NPI assigned
May 26, 2011
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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 1-066211 AL Primary

Addresses

Primary practice location

24980 State St
Elberta, AL 36530-2573

Mailing address

17440 Beck LN
Robertsdale, AL 36567-3771
Phone (251) 213-0875

Other practice location 1

1815 Hand Ave
Bay Minette, AL 36507-4110
Phone (251) 435-1330

Other practice location 2

406 Medical Park Dr
Atmore, AL 36502-3016
Phone (251) 368-6245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20140220000200 AL Practitioner - Nurse Practitioner 4082840509 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elberta Clinic, PCGroup PAC ID 6901874403, 8 clinicians

Practice addresses (Care Compare)

24980 State St
Elberta, AL 36530-2573
Phone (251) 986-7301

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-066211ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jamus Mobile Urgent Care CurrentSince Jun 28, 2014 Accepting new patients
Jamus Foley Urgent Care CurrentSince Jun 1, 2014 Accepting new patients
Imc-Emergency Physicians LLC CurrentSince Mar 1, 2019 Accepting new patients
Elberta Clinic, PC CurrentSince Jun 1, 2023 Accepting new patients

Locations

1815 Hand Ave
Bay Minette, AL 36507
Phone (251) 279-1553

24980 State St
Elberta, AL 36530
Phone (251) 201-7667

1265 S McKenzie St
Foley, AL 36535
Phone (251) 300-2770

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

4270 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 300-2770

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1861785693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17440 BECK LN",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365673771",
            "telephone_number": "251-213-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24980 STATE ST",
            "city": "ELBERTA",
            "state": "AL",
            "postal_code": "365302573",
            "telephone_number": "251-986-7301",
            "fax_number": "251-986-5927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 Hand Ave",
            "address_purpose": "LOCATION",
            "city": "Bay Minette",
            "state": "AL",
            "postal_code": "365074110",
            "country_code": "US",
            "telephone_number": "251-435-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Atmore",
            "state": "AL",
            "postal_code": "365023016",
            "country_code": "US",
            "telephone_number": "251-368-6245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECK",
        "first_name": "DONNA",
        "middle_name": "MCINNIS",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-066211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elberta, AL

Sources for this page

Verify at the official NPI Registry.