DERENDA MARIE BEASLEY (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1386120343
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DERENDA MARIE BEASLEY (APN)
Union Springs, Bullock County, Alabama, 36089, United States
UNION SPRINGS, AL 360896562
Phone: (334) 738-5625
Type: Location
Anthony Lane, Loma Linda, Newton County, Missouri, United States
NEWTON, AL 363528418
Phone: (334) 648-8779
Type: Mailing
1391 SPEER BLVD STE 360
DENVER, CO 802042632
Phone: (303) 720-1845
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-04-18
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200806000215 | I | Nurse Practitioner | AL | TBD |
| I20210208000174 | I | Nurse Practitioner | SC | TBD |
| I20210630001180 | I | Nurse Practitioner | MT | TBD |
| I20211119001512 | I | Nurse Practitioner | FL | TBD |
| I20220418002180 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36089)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Mental Health Counselor | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | VA | |
| - | CO | |
| Nurse Practitioner | CO |
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