MS. LUANN SUE BEACOM N.P.
NPI 1760578538
Nurse Practitioner in San Diego, CA

Active since October 05, 2006PECOS Enrolled
4060 4TH AVE, SUITE 420, SAN DIEGO, CA 92103(619) 299-3111(619) 299-3126 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Luann Sue Beacom N.p. NPPES

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

MS. LUANN SUE BEACOM N.P. (NPI 1760578538) is an individual nurse practitioner in San Diego, California, licensed in California (9876) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760578538
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. LUANN SUE BEACOMCredential: N.P.
Location Address4060 4TH AVE, SUITE 420San Diego, CA 92103
Mailing Address5383 Bothe AveSan Diego, CA 92122 · (858) 546-9088
Fax(619) 299-3126
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1760578538 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 · 9876
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.
4060 4TH AVE, San Diego, CA 92103

Other Identifiers 3

Other249CA · Clin. Nurse Spec Cert #
Other9876CA · N.p. Furnishing #
OtherRN336125CA · R.n. License #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Luann Sue Beacom N.p. 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 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 20

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

Nurse Practitioner (Family)
4060 4TH AVE, SUITE 310
SAN DIEGO, CA 92103
Physician Assistant
4060 4TH AVE, 7TH FLOOR
SAN DIEGO, CA 92103
Physical Therapist
4060 4TH AVE
SAN DIEGO, CA 92103
Internal Medicine (Gastroenterology)
4060 4TH AVE, #240
SAN DIEGO, CA 92103
Clinic/Center (Multi-Specialty)
4060 4TH AVE, 508
SAN DIEGO, CA 92103
Urology
4060 4TH AVE, SUITE 310
SAN DIEGO, CA 92103
Physical Therapist
4060 4TH AVE, #105
SAN DIEGO, CA 92103
Specialist/Technologist (Athletic Trainer)
4060 4TH AVE, SUITE 105
SAN DIEGO, CA 92103

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 Luann Beacom's NPI number?

The NPI number for Luann Beacom is 1760578538. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Luann Beacom located?

Luann Beacom practices at 4060 4th Ave Suite 420, San Diego, CA 92103. The listed phone number is (619) 299-3111.

What is Luann Beacom's specialty?

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

Is Luann Beacom enrolled in Medicare?

Yes. Luann Beacom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luann Beacom was last updated on March 7, 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.