DAVITA BEASLEY
NPI 1356720429
Nurse Practitioner - Family in Chantilly, VA

Q: 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.

Q: What is Davita Beasley'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 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.

Active since May 22, 2015PECOS Enrolled

14121 PARKE LONG CT STE 201, CHANTILLY, VA 20151(513) 223-8748 Get Directions Write a Review

NPPES record last updated: May 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1356720429

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDAVITA BEASLEY

Location Address14121 PARKE LONG CT STE 201Chantilly, VA 20151-1647

Mailing Address14121 Parke Long Ct Ste 201Chantilly, VA 20151-1647

Phone(513) 223-8748

Sole ProprietorNo

Enumeration DateMay 22, 2015

✔ NPI 1356720429 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 OH · 17346

14121 PARKE LONG CT STE 201, Chantilly, VA 20151

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Davita Beasley 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 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.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

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.

MICHELLE MARIE DRESBACK FNP

Nurse Practitioner (Family)