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

Q: 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.

Q: What is Kelly Beavers's specialty?

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

Q: 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.

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: September 27, 2026.

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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

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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 from Buckeye Health Plan, Ambetter from Home State Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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)