Kristyn Marie Beaver, NP in South Bend, IN - Medicare Nurse Practitioner

Kristyn Marie Beaver, NP is a medicare enrolled "Nurse Practitioner - Family" in South Bend, Indiana. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lakeland Medical Practices, Beacon Medical Group Inc and her current practice location is 714 N Michigan St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-7477.

Kristyn Marie Beaver is licensed to practice in Indiana (license number 71014740A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861150955.

Contact Information

	Kristyn Marie Beaver, NP
	714 N Michigan St, South Bend, IN 46601-1035
	(574) 647-7477
	(574) 647-3655

Map and Direction

Provider's Profile

Full Name	Kristyn Marie Beaver
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	714 N Michigan St, South Bend, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristyn Marie Beaver graduated from nursing school in 2021

NPI Data:

NPI Number: 1861150955
Provider Enumeration Date: 12/06/2021
Last Update Date: 02/17/2024

Medicare PECOS Information:

PECOS PAC ID: 5092100677
Enrollment ID: I20220317000773

Medical Identifiers

Medical identifiers for Kristyn Marie Beaver such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861150955	NPI	-	NPPES
300086509	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71014740A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lakeland Hospital, St Joseph	St joseph, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeland Medical Practices	1658427042	260
Beacon Medical Group Inc	1254243306	444

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristyn Marie Beaver allows following entities to bill medicare on her behalf.

Entity Name	Lakeland Medical Practices
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristyn Marie Beaver is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristyn Marie Beaver, NP 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-2129	Kristyn Marie Beaver, NP 714 N Michigan St, South Bend, IN 46601-1035 Ph: (574) 647-7477

Reviews and Comments

Nurse Practitioner Nurses in South Bend, IN

Beth Ann Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475
Rachel Ann Jennings, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000
Kelly Mae Losiniecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355
Mrs. Brandice Lynn Page, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 888-938-3838 Fax: 888-919-1083
Gina M. Connolly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601 Phone: 574-647-8800 Fax: 574-647-8811
Amanda Lundberg, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635 Phone: 574-234-2191
Kendall Hochstedler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Northside Blvd, South Bend, IN 46615 Phone: 574-307-7673 Fax: 574-234-4706

Kristyn Marie Beaver, NP - Medicare Nurse Practitioner in South Bend, IN