WANDA RENEE BEAVER
NPI 1396160222
Nurse Practitioner - Family in Dyersburg, TN

Q: What is Wanda Beaver's NPI number?

The NPI number for Wanda Beaver is 1396160222. It was assigned to this individual provider in the NPPES registry on March 1, 2014.

Q: What is Wanda Beaver'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 Wanda Beaver was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 01, 2014PECOS Enrolled

1999 SAINT JOHN AVE, DYERSBURG, TN 38024(731) 286-1400(731) 286-0109 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Wanda Renee Beaver NPPES

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

WANDA RENEE BEAVER (NPI 1396160222) is an individual family provider in Dyersburg, Tennessee, licensed in Tennessee (18855) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1396160222

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameWANDA RENEE BEAVER

Location Address1999 SAINT JOHN AVEDyersburg, TN 38024-2117

Mailing Address1037 Roellen Newbern RdDyersburg, TN 38024-7827 · (731) 334-0919

Phone(731) 286-1400

Fax(731) 286-0109

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 1, 2014

Last NPPES UpdateMay 9, 2023

NPPES CertifiedMay 9, 2023

✔ NPI 1396160222 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 TN · 18855

1999 SAINT JOHN AVE, Dyersburg, TN 38024

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wanda Renee Beaver is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173845773

PECOS Enrollment IDI20141210001928

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.

Medicare Billing Reassignments

Medicare enrollment records show Wanda Beaver reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hometown Urgent Care Of Dyersburg PLLC

1.2 mi

Urgent Care

2550 PARR AVE
Dyersburg, TN 38024

Reassigned Medicare billing, Tennessee enrollment
21 clinicians in this Medicare group

NPI 1003318593 (731) 325-5678

Workcare Resources Inc

41 mi

Family Medicine

49 OLD HICKORY BLVD
Jackson, TN 38305

Reassigned Medicare billing, Tennessee enrollment
Medicare enrollment name: Work Care Resources Inc
5 clinicians in this Medicare group

NPI 1285684837 (731) 664-4414

Apex Cardiology PC

41 mi

Interventional Cardiology

327 SUMMAR DR
Jackson, TN 38301

Reassigned Medicare billing, Tennessee enrollment
14 clinicians in this Medicare group

NPI 1467494070 (731) 423-8200

Emergency Medical Care Facilities PC

41 mi

Emergency Medicine

620 SKYLINE DR
Jackson, TN 38301

Reassigned Medicare billing, Tennessee enrollment
146 clinicians in this Medicare group

NPI 1538345855 (731) 541-6574

Healogics Specialty Physicians Of Tennessee, PLLC

122 mi

Undersea and Hyperbaric Medicine

647 DUNLOP LN STE 108
Clarksville, TN 37040

Reassigned Medicare billing, Tennessee enrollment
33 clinicians in this Medicare group

NPI 1932527090 (931) 502-3660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

303 services57 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

84 services11 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

76 services34 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

75 services33 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

36 services36 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

Dyersburg Regional Medical Center

Acute Care Hospitals · Dyersburg, TN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number440072

Location400 East Tickle StreetDyersburg, TN 38024 · Dyer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38024 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 2

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

LESLIE OLIVIA DUNEVANT FNP

Nurse Practitioner (Family)

1999 SAINT JOHN AVE
DYERSBURG, TN 38024

Dyer County (731) 286-1400

SMILE BY DESIGN FAMILY DENTISTRY

Dentist (General Practice)

1999 SAINT JOHN AVE
DYERSBURG, TN 38024

Dyer County (731) 286-0233

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 Wanda Beaver's NPI number?

The NPI number for Wanda Beaver is 1396160222. It was assigned to this individual provider in the NPPES registry on March 1, 2014.

Where is Wanda Beaver located?

Wanda Beaver practices at 1999 Saint John Ave, Dyersburg, TN 38024. The listed phone number is (731) 286-1400.

What is Wanda Beaver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Wanda Beaver enrolled in Medicare?

Yes. Wanda Beaver is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Wanda Beaver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wanda Beaver reassigns Medicare benefits to 5 organizations: Hometown Urgent Care Of Dyersburg PLLC (Dyersburg, TN), Workcare Resources Inc (Jackson, TN), Apex Cardiology PC (Jackson, TN), Emergency Medical Care Facilities PC (Jackson, TN) and Healogics Specialty Physicians Of Tennessee, PLLC (Clarksville, TN). Each 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 Wanda Beaver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wanda Beaver accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Wanda Beaver 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.

Is Wanda Beaver affiliated with any hospitals?

According to CMS data, Wanda Beaver is affiliated with Jackson-Madison County General Hospital and Dyersburg Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Wanda Beaver was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.