Individual provider Active NPI

Mandi Nicole Beuerlein, APRN, FNP-BC

  • Family Nurse Practitioner
  • Waverly, TN
National Provider Identifier
1982993796
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15777 Issued in TN
Practice address
1034 W Main St
Waverly, TN 37185-1447
Phone
(931) 296-7000
NPI assigned
Apr 1, 2011
Last updated
Apr 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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 15777 TN Primary

Addresses

Primary practice location

1034 W Main St
Waverly, TN 37185-1447

Mailing address

2123 Tummins Rd
MC Ewen, TN 37101-4416
Phone (931) 582-4105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20181025000345 TN Practitioner - Nurse Practitioner 8628341666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

415 Henslee Dr
Dickson, TN 37055-2166
Phone (615) 410-4990

980 Professional Park Dr
Suite D
Clarksville, TN 37040-5251
Phone (931) 221-9967

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.98 of 100Reported as group
Quality
27.23
Promoting interoperability
94
Improvement activities
40
Cost
75.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15777TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Neurology Center, PLLC CurrentSince Jul 1, 2020 Accepting new patients
Comprehensive Neurology Center, PLLC CurrentSince Jul 1, 2020 Accepting new patients
Waverly Pediatric and Adult Care Past Accepting new patients

Locations

1812 Haynes St
Clarksville, TN 37043
Phone (931) 552-1352

1400 Hatcher Ln
Columbia, TN 38401
Phone (931) 381-7000

415 Henslee Dr
Dickson, TN 37055
Phone (615) 375-8287

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

4601 Carothers Pkwy
Ste 275
Franklin, TN 37067
Phone (615) 305-2096

353 New Shackle Island Rd
Ste 201A
Hendersonvlle, TN 37075
Phone (615) 822-5660

3901 Central Pike
Ste 257
Hermitage, TN 37076
Phone (615) 859-7546

2140 N Thompson Ln
Ste 100
Murfreesboro, TN 37129

2548 Rideout Ln
Murfreesboro, TN 37128
Phone 61541049901007

Interoperability endpoints

  • Direct secure messaging: mandi.beuerlein.1@30188.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 2

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": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1982993796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 TUMMINS RD",
            "city": "MC EWEN",
            "state": "TN",
            "postal_code": "371014416",
            "telephone_number": "931-582-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 W MAIN ST",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371851447",
            "telephone_number": "931-296-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUERLEIN",
        "first_name": "MANDI",
        "middle_name": "NICOLE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, TN

Sources for this page

Verify at the official NPI Registry.