AUTUMN KRIS ANN BECKMAN — NPI 1831877554 (Licensed & Credentialed Registered Nurse, General Practice in JAY, OK)

CMS-1500 Box 24J / 33a • NPI

1831877554

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WG0000X

Licensed & Credentialed Registered Nurse, General Practice

Box 32 Service Location & ZIP+4

1015 W WASHBOURNE ST, JAY, OK, 74346-4205

✓ 9-Digit EDI 837 ZIP+4 (74346-4205)

Practice Phone & Referral Fax

(918) 308-5513

Fax: (918) 253-6645

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1831877554 (AUTUMN KRIS ANN BECKMAN) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1831877554` (NPI-1 Individual Practitioner)
Provider / Legal Name	AUTUMN KRIS ANN BECKMAN
Plain-English Specialty	Licensed & Credentialed Registered Nurse, General Practice NUCC Code: `163WG0000X` (Registered Nurse, General Practice)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1015 W WASHBOURNE ST, JAY, OK, 74346-4205
Practice Telephone / Fax	Tel: (918) 308-5513 \| Fax: (918) 253-6645
Administrative Mailing Address	1015 W WASHBOURNE ST, JAY, OK, 74346-4205
Enumeration & Last Sync	Enumerated: 2023-07-11 \| CMS Record Updated: 2023-07-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1015 W WASHBOURNE ST, JAY, OK, 74346-4205

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Plain-English Taxonomy & CMS Crosswalk (163WG0000X)

What Does Taxonomy Code 163WG0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WG0000X translates to:
"Licensed & Credentialed Registered Nurse, General Practice"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, General Practice for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AUTUMN KRIS ANN BECKMAN)

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

Common Therapeutic Classes:

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
`163WG0000X` — Registered Nurse, General Practice Plain English: Licensed & Credentialed Registered Nurse, General Practice	State: AR \| License: `223700` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AUTUMN KRIS ANN BECKMAN (NPI #1831877554)