DAVITA BEASLEY
NPI 1356720429
Nurse Practitioner - Family in Chantilly, VA
About Davita Beasley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVITA BEASLEY (NPI 1356720429) is an individual family provider in Chantilly, Virginia, licensed in Ohio (17346) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Davita Beasley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Davita Beasley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Ohio enrollment
- 672 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20151 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHANTILLY, VA 20151
CHANTILLY, VA 20151
CHANTILLY, VA 20151
CHANTILLY, VA 20151
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 Davita Beasley's NPI number?
The NPI number for Davita Beasley is 1356720429. It was assigned to this individual provider in the NPPES registry on May 22, 2015.
Where is Davita Beasley located?
Davita Beasley practices at 14121 Parke Long Ct Ste 201, Chantilly, VA 20151. The listed phone number is (513) 223-8748.
What is Davita Beasley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Davita Beasley enrolled in Medicare?
Yes. Davita Beasley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Davita Beasley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Davita Beasley reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Davita Beasley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Davita Beasley accept?
Health plans from CareSource and CareSource (Common Ground Healthcare) list Davita Beasley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Davita Beasley was last updated on May 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Davita Beasley · NPI 1356720429
Family physician in Chantilly, Virginia. Individual provider, active in the CMS NPPES registry since May 22, 2015.
## Identity
- **NPI:** 1356720429 (Entity type: Individual)
- **Enumerated:** May 22, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 17346 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 14121 PARKE LONG CT STE 201, Chantilly, VA 20151-1647
- **Phone:** (513) 223-8748
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health, LLC (NPI 1689158487, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1356720429) · Data from the CMS NPPES public registry.