Rebecca Jane Beverly, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3016138 Issued in KY

Practice address

39 Ferndale Apartments Rd
Pineville, KY 40977-8578

Phone

(731) 394-1145

NPI assigned

Jul 20, 2022

Last updated

Jul 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Pineville Community Health Center IncGroup PAC ID 5698009157, shared by 4 NPIs, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Knox County Hospital Hospital, Barbourville, KY, CCN 181328
• Middlesboro Arh Hospital Hospital, Middlesboro, KY, CCN 180020

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

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.

• Ultra Health LLC

  dba Ultra Health Provders

  • Geriatric Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1922469543

  KY

  Medicare reassignment Care Compare group NPD

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

• Appalachian Regional Healthcare, Inc

  dba ARH Specialty Associates - Middlesboro

  • Multi-Specialty Clinic/Center
  • Middlesboro, KY
  • NPI 1801403092

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  dba Middlesboro ARH Hospital

  • General Acute Care Hospital
  • Middlesboro, KY
  • NPI 1891792495
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  dba ARH Middlesboro Internal Medicine Clinic

  • Internal Medicine Physician
  • Middlesboro, KY
  • NPI 1932415882

  Hospital

  Care Compare affiliation
• Arh Mary Breckinridge Health Services, Inc.

  dba ARH Cumberland Valley Medical and Surgical Associates

  • Rural Health Clinic/Center
  • Middlesboro, KY
  • NPI 1962908277

  Hospital

  Care Compare affiliation
• Arh Mary Breckinridge Health Services, Inc.

  dba Barbourville ARH Hospital

  • Critical Access Hospital
  • Barbourville, KY
  • NPI 1992176655
  Care Compare affiliation

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1942935127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 REBECCA LN",
            "city": "GRAY",
            "state": "KY",
            "postal_code": "407346623",
            "telephone_number": "606-622-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 FERNDALE APARTMENTS RD",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409778578",
            "telephone_number": "731-394-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERLY",
        "first_name": "REBECCA",
        "middle_name": "JANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca.beverly@ultrahealthproviders.com",
            "affiliation": "N",
            "address_1": "39 Ferndale Apartments Rd",
            "city": "Pineville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "409778578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bell Central School
• Bell County Health Department Inc.
• Bell County High School
• Bell County Schools
• Bella Lasley LLC (Taylor Drug Store)
• Robert F Bond
• Broadway Clinic Pharmacy Inc (Medicine Cabinet Pharmacy)
• Evan Brock, DPT
• Thomas Edward Busic, PMHNP-BC
• Corey Lee Campbell, PA-C

• Family Nurse Practitioner in Pineville, KY
• Providers in Pineville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.