Stanley Mark Bevis, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP145756 Issued in TX

Practice address

1600 US Highway 79 S
Henderson, TX 75654

Phone

(903) 717-3260

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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.

• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865

  TN

  Medicare reassignment NPD
• Southern Immediate Care, LLC

  • Urgent Care Clinic/Center
  • Anniston, AL
  • NPI 1467909978

  AL

  Medicare reassignment NPD
• Stopwatch Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Auburn, AL
  • NPI 1841506458

  AL

  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• QV Urgent Care Ia PLLC

  • Rural Health Clinic/Center
  • Osceola, IA
  • NPI 1043936735

  5% Or Greater Indirect Ownership Interest, Corporate Director

  CMS ownership
• QV Urgent Care Ia PLLC

  • Rural Health Clinic/Center
  • Grinnell, IA
  • NPI 1053037747

  5% Or Greater Indirect Ownership Interest, Corporate Director

  CMS ownership
• QV Urgent Care Ia PLLC

  • Rural Health Clinic/Center
  • Fort Madison, IA
  • NPI 1114643806

  5% Or Greater Indirect Ownership Interest, Corporate Director

  CMS ownership
• QV Urgent Care Ia PLLC

  • Rural Health Clinic/Center
  • Washington, IA
  • NPI 1235835950

  5% Or Greater Indirect Ownership Interest, Corporate Director

  CMS ownership
• QV Urgent Care Ia PLLC

  • Rural Health Clinic/Center
  • Mt Pleasant, IA
  • NPI 1700502606

  5% Or Greater Indirect Ownership Interest, Corporate Director

  CMS ownership
• QV Urgent Care Ia, PLLC

  • Rural Health Clinic/Center
  • Newton, IA
  • NPI 1265158950

  5% Or Greater Indirect Ownership Interest, Corporate Director

  CMS ownership

Medicare fee-for-service enrollment

Enrolled in TN, AL2 enrollments

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 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2020.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1962455451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1022",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384851022",
            "telephone_number": "931-722-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 US HIGHWAY 79 S",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "75654",
            "telephone_number": "903-717-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVIS",
        "first_name": "STANLEY",
        "middle_name": "MARK",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN11551",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Leaves Nursing and Rehab Inc
• A'Ndrea Danielle Bailey, COTA
• Yesenia Bazaldua, FNP-C
• Miyosha Beechum, COTA
• Bethany Home Health of Henderson, LP
• Birthed to Care Inc
• Penny Blake, APRN
• Milee Jo Blanton, M.S., CF-SLP
• BR Brown Enterprises
• Ruston Bray, P.A.

• All providers in Henderson, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.