Individual provider Active NPI

Adam Garrett Beatty, CRNP

  • Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1962979914
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP019810 Issued in PA
Practice address
2151 Linglestown Rd Ste 100
Harrisburg, PA 17110-9473
Phone
(717) 545-4786
Fax
(717) 545-6359
NPI assigned
Oct 29, 2018
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP019810 PA Primary
Registered Nurse 163W00000X RN592456 PA

Addresses

Primary practice location

2151 Linglestown Rd Ste 100
Harrisburg, PA 17110-9473

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Phone (717) 545-4786

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abeatty18352@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190304001088 PA Practitioner - Nurse Practitioner 3173862422 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN592456PAMDRegistered Nurse
SP019810PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jan 31, 2019 Accepting new patients
Robert M Zuckerman, MD PC CurrentSince Nov 6, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 31, 2019 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients

Locations

2151 Linglestown Rd
Ste 100
Harrisburg, PA 17110
Phone (717) 545-4786

2151 Linglestown Rd
Ste 160A
Harrisburg, PA 17110
Phone (717) 232-9450

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

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.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1962979914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-545-4786",
            "fax_number": "717-545-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 LINGLESTOWN RD STE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109473",
            "telephone_number": "717-545-4786",
            "fax_number": "717-545-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "ADAM",
        "middle_name": "GARRETT",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-29",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019810",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN592456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abeatty18352@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2151 Linglestown Rd Ste 100",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171109473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.