BEATRICE MARIE ANDERSON APRN
NPI 1104394493
Nurse Practitioner - Adult Health in Danville, IL

Active since November 05, 2018Opted out of Medicare · through Jan 25, 2027
3545 N VERMILION ST, DANVILLE, IL 61832(217) 651-6801 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2025, Nov 5, 2018 (2 updates tracked since 2018).

About Beatrice Marie Anderson Aprn NPPES

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

BEATRICE MARIE ANDERSON APRN (NPI 1104394493) is an individual adult health provider in Danville, Illinois, licensed in Illinois (209018442) and active in the NPI registry since November 2018. She has opted out of Medicare through January 25, 2027.

NPPES Registry Identity

NPI1104394493
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameBEATRICE MARIE ANDERSONCredential: APRN
Location Address3545 N VERMILION STDanville, IL 61832-1100
Mailing Address214 Eagle DrCovington, IN 47932-8504 · (217) 260-1433
Sole ProprietorYes
Enumeration DateNovember 5, 2018
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
NPI 1104394493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in IL · 209018442
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209.018442 (IL)
3545 N VERMILION ST, Danville, IL 61832

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Beatrice Marie Anderson Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 25, 2021 through January 25, 2027.

Opt-Out Effective DateJanuary 25, 2021
Opt-Out In Effect ThroughJanuary 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Nurse Practitioner
3545 N VERMILION ST
DANVILLE, IL 61832
Counselor
3545 N VERMILION ST
DANVILLE, IL 61832
Physical Therapist
3545 N VERMILION ST
DANVILLE, IL 61832
Counselor
3545 N VERMILION ST
DANVILLE, IL 61832
Counselor (Professional)
3545 N VERMILION ST
DANVILLE, IL 61832
Massage Therapist
3545 N VERMILION ST
DANVILLE, IL 61832
Counselor (Mental Health)
3545 N VERMILION ST
DANVILLE, IL 61832
Counselor
3545 N VERMILION ST
DANVILLE, IL 61832

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 Beatrice Anderson's NPI number?

The NPI number for Beatrice Anderson is 1104394493. It was assigned to this individual provider in the NPPES registry on November 5, 2018.

Where is Beatrice Anderson located?

Beatrice Anderson practices at 3545 N Vermilion St, Danville, IL 61832. The listed phone number is (217) 651-6801.

What is Beatrice Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Beatrice Anderson enrolled in Medicare?

No. Beatrice Anderson has opted out of Medicare through January 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Beatrice Anderson was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.