ERIC MICHAEL BEAULIEU FNP - NPI 1093388175 - Nurse Practitioner in Kingsport, TN

Q: What is Eric Beaulieu's NPI number?

The NPI number for Eric Beaulieu is 1093388175. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Q: What is Eric Beaulieu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Beaulieu was last updated on November 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Eric Michael Beaulieu Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC MICHAEL BEAULIEU FNP (NPI 1093388175) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (29882) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093388175

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameERIC MICHAEL BEAULIEUCredential: FNP

Location Address2204 PAVILION DR STE 108Kingsport, TN 37660-4651

Mailing Address2204 Pavilion Dr Ste 108Kingsport, TN 37660-4651 · (423) 392-6100 · Fax (423) 392-6159

Phone(423) 392-6100

Fax(423) 392-6159

Sole ProprietorNo

Enumeration DateJuly 19, 2021

Last NPPES UpdateNovember 18, 20222 updates tracked since enumeration

NPPES CertifiedNovember 18, 2022

✔ NPI 1093388175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 29882

2204 PAVILION DR STE 108, Kingsport, TN 37660

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Other Identifiers 1

MedicaidQ068089TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric Michael Beaulieu Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SULLIVAN AND PTRS

Internal Medicine (Gastroenterology)