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INDIA RACHELLE BEVERLY MSN, APRN, FNP-BC
NPI 1528928561
Nurse Practitioner in Port Arthur, TX

Active since November 13, 2025PECOS Enrolled
2548 MEMORIAL BLVD, PORT ARTHUR, TX 77640(409) 983-1161(409) 982-0978 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 11, 2026, Mar 30, 2026, Nov 13, 2025 (3 updates tracked since 2025).

About India Rachelle Beverly Msn, Aprn, Fnp-bc NPPES

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

INDIA RACHELLE BEVERLY MSN, APRN, FNP-BC (NPI 1528928561) is an individual nurse practitioner in Port Arthur, Texas, licensed in Texas (1224103) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Beaumont, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1528928561
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameINDIA RACHELLE BEVERLYCredential: MSN, APRN, FNP-BC
Location Address2548 MEMORIAL BLVDPort Arthur, TX 77640-2825
Mailing Address950 Iris LnBeaumont, TX 77706-5520
Phone(409) 983-1161
Fax(409) 982-0978
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 13, 2025
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1528928561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1224103
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 817075 (TX)
2548 MEMORIAL BLVD, Port Arthur, TX 77640
Open in Google Maps ↗

Secondary Practice Location 1

Location 1950 Iris LnBeaumont, TX 77706-5520 · Phone (409) 554-3507

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

India Rachelle Beverly Msn, Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224509948
PECOS Enrollment IDI20260603003897
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 Reassignment

Medicare enrollment records show India Beverly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gulf Coast Health Center Inc
Same address
Federally Qualified Health Center (FQHC)
2548 MEMORIAL BLVD
Port Arthur, TX 77640
  • Reassigned Medicare billing, Texas enrollment
  • 28 clinicians in this Medicare group
NPI 1912904897 (409) 983-1161

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 77640 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
$83.80 typical visit price
range $54.04 – $164.93
Typical copayment $20.95 (range $13.51 – $41.23)
Most-billed visit code 99203
Established Patient
$95.83 typical visit price
range $17.17 – $134.47
Typical copayment $23.95 (range $4.29 – $33.61)
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.

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.

LEOPOLD VILLEGAS III DO
Family Medicine
2548 MEMORIAL BLVD
PORT ARTHUR, TX 77640
Jefferson County (409) 983-1161
MARIA LINDA DIESTRO FNP
Nurse Practitioner
2548 MEMORIAL BLVD
PORT ARTHUR, TX 77640
Jefferson County (409) 983-1161
MS. DENISE JOY BROUSSARD LMSW
Social Worker
2548 MEMORIAL BLVD
PORT ARTHUR, TX 77640
Jefferson County (409) 983-1161
KAHLA SHAY GARRETT
Nurse Practitioner (Family)
2548 MEMORIAL BLVD
PORT ARTHUR, TX 77640
Jefferson County (409) 983-1161
MR. RICHARD L WOODCROFT PA
Physician Assistant
2548 MEMORIAL BLVD
PORT ARTHUR, TX 77640
Jefferson County (409) 983-1161
MS. CARISSA DICHELLE DUGAS FNP
Nurse Practitioner (Family)
2548 MEMORIAL BLVD
PORT ARTHUR, TX 77640
Jefferson County (409) 983-1161
BROOKE ANN MANUEL FNP
Nurse Practitioner (Family)
2548 MEMORIAL BLVD
PORT ARTHUR, TX 77640
Jefferson County (409) 983-1161
DR. HEATHER NICOLE RHODES DDS
Dentist
2548 MEMORIAL BLVD
PORT ARTHUR, TX 77640
Jefferson County (469) 667-8772

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 India Beverly's NPI number?

The NPI number for India Beverly is 1528928561. It was assigned to this individual provider in the NPPES registry on November 13, 2025.

Where is India Beverly located?

India Beverly practices at 2548 Memorial Blvd, Port Arthur, TX 77640. The listed phone number is (409) 983-1161.

What is India Beverly's specialty?

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

Is India Beverly enrolled in Medicare?

Yes. India Beverly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for India Beverly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), India Beverly reassigns Medicare benefits to Gulf Coast Health Center Inc (Port Arthur, 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 India Beverly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does India Beverly accept?

Health plans from Blue Cross and Blue Shield of Texas, UnitedHealthcare and WellPoint list India Beverly 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 India Beverly was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.