Individual provider Active NPI

Beau Prescott Semler, NP

  • Gerontology Nurse Practitioner
  • Danville, IN
National Provider Identifier
1972194561
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
71010794A Issued in IN
Practice address
112 Hospital LN Ste 303
Danville, IN 46122-1998
Phone
(317) 718-4000
NPI assigned
Jan 27, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28164648A IN
Gerontology Nurse Practitioner 363LG0600X 71010794A IN Primary

Addresses

Primary practice location

112 Hospital LN Ste 303
Danville, IN 46122-1998

Mailing address

1917 Abbey LN
Danville, IN 46122-9538
Phone (317) 695-6145

Other practice location 1

1917 Abbey Ln
Danville, IN 46122-9538
Phone (317) 695-6145

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bsemler227694@direct-PRD.stelizabeth.com

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
I20210223001679 IN Practitioner - Nurse Practitioner 8123433281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians

Practice addresses (Care Compare)

100 Hospital LN
Danville, IN 46122-1993

1000 E Main St
Danville, IN 46122-1948

8244 E US Hwy 36
Avon, IN 46123-9688

8244 E US Hwy 36 1100
Hendricks Community Hospital
Avon, IN 46123-9627
Phone (317) 272-7500

8244 E US Hwy 36 1320
Avon Internal Medicine
Avon, IN 46123-9688
Phone (317) 272-7519

Hospital & facility affiliations

  • Hendricks Regional Health Hospital, Danville, IN, CCN 150005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28164648AINMDRegistered Nurse
71010794AINMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital CurrentSince Feb 8, 2021 Accepting new patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince Feb 8, 2021 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

112 Hospital Ln
Ste 303
Danville, IN 46122
Phone (317) 718-4000

100 Hospital Ln
Ste 100
Danville, IN 46122
Phone (317) 718-4000

1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

Organizations & group practices 5

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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1972194561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 ABBEY LN",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229538",
            "telephone_number": "317-695-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HOSPITAL LN STE 303",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221998",
            "telephone_number": "317-718-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1917 Abbey Ln",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "IN",
            "postal_code": "461229538",
            "country_code": "US",
            "telephone_number": "317-695-6145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEMLER",
        "first_name": "BEAU",
        "middle_name": "PRESCOTT",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28164648A",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71010794A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsemler227694@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "112 Hospital Ln Ste 303",
            "city": "Danville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461221998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

Verify at the official NPI Registry.