Individual provider Active NPI

Nikia Beeson, NP

  • Women's Health Nurse Practitioner
  • Anderson, IN
National Provider Identifier
1962766824
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
71004228A Issued in IN
Practice address
2705 Enterprise Dr # 5
Anderson, IN 46013-9670
Phone
(765) 393-1965
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 28151339A IN
Women's Health Nurse Practitioner 363LW0102X 71004228A IN Primary

Addresses

Primary practice location

2705 Enterprise Dr # 5
Anderson, IN 46013-9670

Mailing address

2705 Enterprise Dr # 5
Anderson, IN 46013-9670
Phone (765) 393-1965

Other identifiers 2

IdentifierTypeStateIssuer
201117760MedicaidIN
000000804162OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20130419000244 IN Practitioner - Nurse Practitioner 9032355912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women's Wellness ClinicGroup PAC ID 0840697801, 2 clinicians

Practice addresses (Care Compare)

417 W 38TH St
Anderson, IN 46013-4019
Phone (765) 393-1965

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28151339AINMDWomen's Health Nurse Practitioner
71004228AINMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Mar 1, 2013 Accepting new patients
Women's Wellness Clinic Women's Health CurrentSince Nov 18, 2021 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Mar 1, 2013 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

417 W 38th St
Anderson, IN 46013
Phone (765) 400-0380

1130 Medical Arts Blvd
Ste 250
Anderson, IN 46011
Phone (765) 298-4282

2705 Enterprise Dr
Ste 250
Anderson, IN 46013
Phone (765) 274-5100

2705 Enterprise Dr
#5
Anderson, IN 46013
Phone (765) 393-1965

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

Interoperability endpoints

  • Direct secure messaging: nbeeson66469@ecommunitydirect.com

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 and National Provider Directory roles.

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1962766824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 ENTERPRISE DR # 5",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460139670",
            "telephone_number": "765-393-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 ENTERPRISE DR # 5",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460139670",
            "telephone_number": "765-393-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEESON",
        "first_name": "NIKIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "28151339A",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71004228A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201117760",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000804162",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.