BEAU STATES RN
NPI 1104383173
Nurse Anesthetist, Certified Registered in Newburgh, NY

Active since February 26, 2019
100/100
CMS Quality Rating
70 DUBOIS ST, NEWBURGH, NY 12550(845) 561-4400 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2024, Feb 26, 2019 (2 updates tracked since 2019).

About Beau States Rn NPPES

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

BEAU STATES RN (NPI 1104383173) is an individual nurse anesthetist, certified registered in Newburgh, New York, licensed in New York (703282-01) and active in the NPI registry since February 2019. He is affiliated with St Luke's Cornwall Hospital, maintains a secondary practice location in New York, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104383173
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBEAU STATESCredential: RN
Location Address70 DUBOIS STNewburgh, NY 12550
Mailing Address16 Cedar Ridge RdNew Paltz, NY 12561-2711 · (818) 645-1425
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 26, 2019
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
NPI 1104383173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in NY · 703282-01
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 703282 (NY)
70 DUBOIS ST, Newburgh, NY 12550

Secondary Practice Location 1

Location 1560 W 168th StNew York, NY 10032-3917 · Phone (818) 645-1425

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Beau States Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193139475
PECOS Enrollment IDI20210127002710

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
17 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330264
Location70 Dubois StreetNewburgh, NY 12550 · Orange County
Emergency services Birthing friendly

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
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

General Acute Care Hospital
70 DUBOIS ST
NEWBURGH, NY 12550
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
70 DUBOIS ST
NEWBURGH, NY 12550
Anesthesiology
70 DUBOIS ST, ST LUKES HOSPITAL
NEWBURGH, NY 12550
Internal Medicine
70 DUBOIS ST
NEWBURGH, NY 12550
Emergency Medicine
70 DUBOIS ST
NEWBURGH, NY 12550
Anesthesiology
70 DUBOIS ST
NEWBURGH, NY 12550
Anesthesiology
70 DUBOIS ST, ST. LUKES HOSPITAL
NEWBURGH, NY 12550
Student in an Organized Health Care Education/Training Program
70 DUBOIS ST
NEWBURGH, NY 12550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beau States's NPI number?

The NPI number for Beau States is 1104383173. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Where is Beau States located?

Beau States practices at 70 Dubois St, Newburgh, NY 12550. The listed phone number is (845) 561-4400.

What is Beau States's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Beau States enrolled in Medicare?

Yes. Beau States is registered in the Medicare PECOS enrollment system.

Is Beau States affiliated with any hospitals?

According to CMS data, Beau States is affiliated with St Luke's Cornwall Hospital.

When was this NPI record last updated?

The NPPES record for Beau States was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.