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DOUGLAS BEAZLEY NP
NPI 1386941029
Nurse Practitioner in Oakland, CA

Active since February 15, 2011PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
1030 INTERNATIONAL BLVD, OAKLAND, CA 94606(510) 238-5400 Get Directions Write a Review

NPPES record last updated: February 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas Beazley Np NPPES

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

DOUGLAS BEAZLEY NP (NPI 1386941029) is an individual nurse practitioner in Oakland, California, licensed in California (665459) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1386941029
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDOUGLAS BEAZLEYCredential: NP
Location Address1030 INTERNATIONAL BLVDOakland, CA 94606-3730
Mailing AddressPo Box 22210Oakland, CA 94623-2210 · (510) 535-4000
Phone(510) 238-5400
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 15, 2011
✔ NPI 1386941029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 665459
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1030 INTERNATIONAL BLVD, Oakland, CA 94606
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas Beazley Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163731332
PECOS Enrollment IDI20151029001285
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 94606 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

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.

EMILY DUANE LLOYD NPF
Nurse Practitioner
1030 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 238-5400
MONIQUE THIRY-ZARAGOZA MD
Family Medicine
1030 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 238-5400
VIVIAN YU
Registered Nurse (General Practice)
1030 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 238-5400
MOLLY GOODKIND LCSW
Social Worker (Clinical)
1030 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 535-6200
MS. NANG KIT WONG R.D.
Dietitian, Registered
1030 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 238-5400
PETER MADRIL RDN
Dietitian, Registered
1030 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 535-1508
SUK-CHONG CHEUNG MSW
Social Worker (Clinical)
1030 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 238-5400
JORGE LUIS ROSALES RN
Registered Nurse (Community Health)
1030 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 238-5400

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 Douglas Beazley's NPI number?

The NPI number for Douglas Beazley is 1386941029. It was assigned to this individual provider in the NPPES registry on February 15, 2011.

Where is Douglas Beazley located?

Douglas Beazley practices at 1030 International Blvd, Oakland, CA 94606. The listed phone number is (510) 238-5400.

What is Douglas Beazley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Douglas Beazley enrolled in Medicare?

Yes. Douglas Beazley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Douglas Beazley was last updated on February 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.