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KELLY ANNE BEAVER NP
NPI 1760790786
Nurse Practitioner in Farmington, MO

Active since September 24, 2010PECOS Enrolled
1212 WEBER RD, FARMINGTON, MO 63640(800) 893-9698 Get Directions Write a Review

NPPES record last updated: September 24, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Anne Beaver Np NPPES

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

KELLY ANNE BEAVER NP (NPI 1760790786) is an individual nurse practitioner in Farmington, Missouri, licensed in Missouri (2006020391) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760790786
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY ANNE BEAVERCredential: NP
Location Address1212 WEBER RDFarmington, MO 63640-3325
Mailing Address200 Corporate Blvd, Suite 201Lafayette, LA 70508-3870 · (800) 893-9698
Phone(800) 893-9698
Sole ProprietorNo
Enumeration DateSeptember 24, 2010
✔ NPI 1760790786 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 MO · 2006020391
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.
1212 WEBER RD, Farmington, MO 63640
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Anne Beaver Np 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Beaver reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Hospital Jefferson
27 mi
General Acute Care Hospital
1400 HIGHWAY 61
Festus, MO 63028
  • Reassigned Medicare billing, Missouri enrollment
  • 118 clinicians in this Medicare group
NPI 1508859661 (636) 933-1000
Southeastern Emergency Physicians Of Memphis LLC
77 mi
Emergency Medicine
1 MEMORIAL DR
Alton, IL 62002
  • Reassigned Medicare billing, Missouri enrollment
  • 343 clinicians in this Medicare group
NPI 1437105277 (618) 463-7474

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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
89 services82 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
35 services35 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63640 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

RICHARD C DORE' RN, CRNA
Nurse Anesthetist, Certified Registered
1212 WEBER RD
FARMINGTON, MO 63640
St. Francois County (573) 756-4581
PARKLAND HEALTH CENTER - WEBER ROAD
Medicare Defined Swing Bed Unit
1212 WEBER RD
FARMINGTON, MO 63640
St. Francois County (573) 756-4581
FARMINGTON MISSOURI HOSPITAL COMPANY, LLC
Medicare Defined Swing Bed Unit
1212 WEBER RD
FARMINGTON, MO 63640
St. Francois County (573) 756-4581
FARMINGTON CLINIC COMPANY LLC
Surgery
1212 WEBER RD
FARMINGTON, MO 63640
St. Francois County (573) 756-3662
BARBARA J ANDERSON RN, CRNA
Nurse Anesthetist, Certified Registered
1212 WEBER RD
FARMINGTON, MO 63640
St. Francois County (573) 756-4581
PARKLAND HEALTH CENTER - WEBER ROAD
Psychiatric Unit
1212 WEBER RD
FARMINGTON, MO 63640
St. Francois County (573) 756-4581
DWAYNE NATHAN DAMBA DO
Emergency Medicine
1212 WEBER RD
FARMINGTON, MO 63640
St. Francois County (573) 701-7215
FARMINGTON MISSOURI HOSPITAL COMPANY, LLC
General Acute Care Hospital
1212 WEBER RD
FARMINGTON, MO 63640
St. Francois County (573) 756-4581

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 Kelly Beaver's NPI number?

The NPI number for Kelly Beaver is 1760790786. It was assigned to this individual provider in the NPPES registry on September 24, 2010.

Where is Kelly Beaver located?

Kelly Beaver practices at 1212 Weber Rd, Farmington, MO 63640. The listed phone number is (800) 893-9698.

What is Kelly Beaver's specialty?

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

Is Kelly Beaver enrolled in Medicare?

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

Which organizations bill Medicare for Kelly Beaver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Beaver reassigns Medicare benefits to 2 organizations: Mercy Hospital Jefferson (Festus, MO) and Southeastern Emergency Physicians Of Memphis LLC (Alton, IL). 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 Kelly Beaver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Beaver was last updated on September 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.