Individual provider Active NPI

Dana L Beaver, FNP

  • Family Nurse Practitioner
  • Bedford, IN
National Provider Identifier
1982942629
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28124304A Issued in IN
Practice address
3251 Shawnee Dr S
Bedford, IN 47421-5277
Phone
(812) 277-9692
Fax
(812) 277-9694
NPI assigned
Jan 30, 2013
Last updated
Jan 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28124304A IN Primary

Addresses

Primary practice location

3251 Shawnee Dr S
Bedford, IN 47421-5277

Mailing address

4119 Erie Church Rd
Bedford, IN 47421-7619

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
I20150203000717 IN Practitioner - Nurse Practitioner 2769707322 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
The Heart and Vascular Clinic, PCGroup PAC ID 2769434224, 2 clinicians

Practice addresses (Care Compare)

3251 Shawnee Dr S
Bedford, IN 47421-5277
Phone (812) 277-9692

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28124304AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians, LLC CurrentSince Mar 8, 2021 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Mar 8, 2021 Accepting new patients
The Heart and Vascular Clinic, P.C. CurrentSince Jan 1, 2015 Accepting new patients

Locations

3251 Shawnee Dr S
Bedford, IN 47421
Phone (812) 277-9392

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

Interoperability endpoints

  • Direct secure messaging: dana.beaver.1@31739.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1982942629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 ERIE CHURCH RD",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474217619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 SHAWNEE DR S",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215277",
            "telephone_number": "812-277-9692",
            "fax_number": "812-277-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "DANA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28124304A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.