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MRS. KELLY LOUISE BEAVERS APRN, FNP-C
NPI 1942041660
Nurse Practitioner - Pediatrics in Shreveport, LA

Active since June 05, 2024PECOS Enrolled
3100 SAMFORD AVE, SHREVEPORT, LA 71103(318) 226-3306(318) 226-3319 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Kelly Louise Beavers Aprn, Fnp-c NPPES

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

MRS. KELLY LOUISE BEAVERS APRN, FNP-C (NPI 1942041660) is an individual pediatrics provider in Shreveport, Louisiana, licensed in Louisiana (235754) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942041660
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. KELLY LOUISE BEAVERSCredential: APRN, FNP-C
Location Address3100 SAMFORD AVEShreveport, LA 71103-4239
Mailing AddressP O Box 8500 Lock Box 7642Philadelphia, PA 19178-7642 · (813) 821-8478 · Fax (813) 281-8113
Phone(318) 226-3306
Fax(318) 226-3319
Sole ProprietorNo
Enumeration DateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1942041660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in LA · 235754
3100 SAMFORD AVE, Shreveport, LA 71103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan 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)

Mrs. Kelly Louise Beavers Aprn, Fnp-c 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 Reassignment

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

Shriners Hospitals For Children
Same address
Pediatric Orthopaedic Surgery
3100 SAMFORD AVE
Shreveport, LA 71103
  • Reassigned Medicare billing, Louisiana enrollment
  • 52 clinicians in this Medicare group
NPI 1568803732 (318) 222-5704

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 71103 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

LYNN GIBBS JENKINS LOTR
Occupational Therapist (Pediatrics)
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 222-5704
MRS. AMANDA CARFAGNO NP
Nurse Practitioner (Pediatrics)
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 226-3306
SUSAN H. THORNHILL
Occupational Therapist
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 226-3329
DAMIAN JUDE DUHON PT, DPT
Physical Therapist
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 226-4219
MRS. SUSAN SAYLORS BRYANT P.T.
Physical Therapist
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 222-5704
DR. GERARD KARL WILLIAMS JR. M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 222-5704
KENNETH PATRICK POWELL MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 226-3306
MS. SHANNON MARIE MORAN PT
Physical Therapist (Pediatrics)
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 222-5704

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 Beavers's NPI number?

The NPI number for Kelly Beavers is 1942041660. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Kelly Beavers located?

Kelly Beavers practices at 3100 Samford Ave, Shreveport, LA 71103. The listed phone number is (318) 226-3306.

What is Kelly Beavers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelly Beavers enrolled in Medicare?

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

Which organization bills Medicare for Kelly Beavers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Beavers reassigns Medicare benefits to Shriners Hospitals For Children (Shreveport, LA). 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 Kelly Beavers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Beavers accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Kelly Beavers 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 Kelly Beavers was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.