CMS-1500 Box 24J / 33a • NPI
1811078298
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
200 HIGHWAY 2 W, DEVILS LAKE, ND, 58301-3532
✓ 9-Digit EDI 837 ZIP+4 (58301-3532)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1811078298 (VERA ANN BEADLE, NP-C, PHMNP-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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1811078298 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | VERA ANN BEADLE, NP-C, PHMNP-BC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 200 HIGHWAY 2 W, DEVILS LAKE, ND, 58301-3532 |
| Practice Telephone / Fax | Tel: (701) 665-2200 | Fax: (701) 665-2300 |
| Administrative Mailing Address | 200 HIGHWAY 2 W, DEVILS LAKE, ND, 58301-3532 |
| Enumeration & Last Sync | Enumerated: 2006-10-18 | CMS Record Updated: 2019-01-04 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (VERA ANN BEADLE, NP-C, PHMNP-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: MI | License: 4704201918 | Primary: Secondary |
163WG0000X — Registered Nurse, General PracticePlain English: Licensed & Credentialed Registered Nurse, General Practice | State: CO | License: 128553 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: MI | License: 4704201918 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: ND | License: R46932 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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