CMS-1500 Box 24J / 33a • NPI
1063028512
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LP0808X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health
Box 32 Service Location & ZIP+4
2504 BROWNING ROAD 520, GREENWOOD, MS, 38930-6022
✓ 9-Digit EDI 837 ZIP+4 (38930-6022)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1063028512 (BOBBI JO BECK, PMHNP-BC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1063028512)
Medicare Beneficiaries
62
Total Billed Services
77
Distinct CPT/HCPCS Codes
5
Medicare Allowed Total
$1,553.08
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 32 |
99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 41 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Abilify Maintena Aripiprazole | 70 | <11 |
| Alprazolam Alprazolam | 11 | <11 |
| Amitriptyline Hcl Amitriptyline Hcl | 70 | 15 |
| Aripiprazole Aripiprazole | 170 | 48 |
| Aristada Aripiprazole Lauroxil | 13 | <11 |
| Benztropine Mesylate Benztropine Mesylate | 458 | 96 |
| Bupropion Hcl Sr Bupropion Hcl | 23 | <11 |
| Bupropion Xl Bupropion Hcl | 64 | 22 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1063028512 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BOBBI JO BECK, PMHNP-BC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health NUCC Code: 363LP0808X (Nurse Practitioner, Psych/Mental Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2504 BROWNING ROAD 520, GREENWOOD, MS, 38930-6022 |
| Practice Telephone / Fax | Tel: (662) 453-6211 |
| Administrative Mailing Address | 245 BENNETT RD, GRENADA, MS, 38901-8226 |
| Enumeration & Last Sync | Enumerated: 2020-09-21 | CMS Record Updated: 2022-09-26 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in GREENWOOD
🔒 Are you BOBBI JO BECK, PMHNP-BC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (363LP0808X)
What Does Taxonomy Code 363LP0808X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP0808X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BOBBI JO BECK, PMHNP-BC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
163WP0808X — Registered Nurse, Psych/Mental HealthPlain English: Licensed & Credentialed Registered Nurse, Psych/Mental Health | State: MS | License: 892771 | Primary: Secondary |
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: MS | License: 905594 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.