Active NPI
Dana L Beaver, FNP
- Family Nurse Practitioner
- Bedford, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28124304A
- 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, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28124304A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Southern Indiana Physicians, LLC | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| The Heart and Vascular Clinic, P.C. | Current | 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
- 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.
-
- Vascular Surgery Physician
- Bedford, IN
- NPI 1447361928
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba IU Health Bedford Hospital
- Critical Access Hospital
- Bedford, IN
- NPI 1548260284
-
dba IU Health Bedford
- Ambulance
- Bedford, IN
- NPI 1346218799
Hospital
-
dba IU Health Paoli
- Critical Access Hospital
- Paoli, IN
- NPI 1912984451
-
dba Monroe Hospital
- General Acute Care Hospital
- Bloomington, IN
- NPI 1740686443
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.