KATHRYN JEAN BEANE (PA-C, RD) – Physician Assistant, NPI 1093238909

KATHRYN JEAN BEANE (PA-C, RD) is a healthcare provider. based in Oakland, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, RD. They hold a License No. PA59588 (CA). The NPI Number for KATHRYN JEAN BEANE (PA-C, RD) is 1093238909

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN JEAN BEANE (PA-C, RD)
NPI
1093238909
Phone
(510) 535-7332
Address
1411 E 31st St
Enumeration Date
23 July 2017
Last Update Date
3 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5104374800
Graduation Year
2020 (6 years ago)
PAC ID
6406250539
Group Practice PAC ID
3779494521
Professional Enrollment ID
I20260302001063
Address ID
CA946021018OA1411XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:8State licenses:3Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for KATHRYN JEAN BEANE (PA-C, RD)

  • 1411 E 31st St

    Oakland, CA 946021018

    Phone: (510) 535-7332

    Type: Location

  • 1701 CENTRAL AVE APT W

    ALAMEDA, CA 945012546

    Phone: (562) 964-8815

    Type: Mailing

  • 1500 DIVISION ST STE 220

    OREGON CITY, OR 970451527

    Phone:

    Type: Mailing

  • 25, Sonoma Boulevard, Carquinez Heights, Vallejo, Solano County, California, 94590, United States

    VALLEJO, CA 945892276

    Phone: (707) 561-7150

    Type: Location

  • 1411 E 31ST ST

    OAKLAND, CA 946021018

    Phone: (510) 535-7332

    Type: Location

  • 5575 W LAS POSITAS BLVD STE 320

    PLEASANTON, CA 945885804

    Phone: (925) 460-8167

    Type: Location

  • 415 SOUTH SHORE CENTER #115

    ALAMEDA, CA 945015724

    Phone: (562) 964-8815

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $490.

Total Amount is formed as General ($490) + Research ($0) + Ownership ($0) = $490.

Last reported payment date: 2024-05-03 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($125).

Total Amount

$490

General + Research + Ownership

Payments

20

Total payment records

General Amount

$490

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2026-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210811001103IPhysician AssistantCATBD
I20260302001063IPhysician AssistantORTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes11494$0
99213Established patient office or other outpatient visit, 20-29 minutes104100$0
96160Administration and interpretation of patient-focused health risk assessment7459$0
95012Test to measure the level of nitric oxide gas1514$0
99215Established patient office or other outpatient visit, 40-54 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 94602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779494521View full group profile
NameSpecialtyState
N E U R O L O G YMA
Diagnostic RadiologyCA
-CA
Emergency MedicineCA
Emergency MedicineCA
-CA
Nurse PractitionerCA
Internal MedicineCA
Nurse PractitionerCA
Certified Nurse Midwife (Cnm)CA

Reviews

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Frequently asked questions

Can I use this page to confirm KATHRYN JEAN BEANE (PA-C, RD)'s NPI?
Yes. KATHRYN JEAN BEANE (PA-C, RD) is listed with NPI 1093238909 in the public NPI dataset.
Can I rely on KATHRYN JEAN BEANE (PA-C, RD) being an active provider?
As of the registry snapshot, KATHRYN JEAN BEANE (PA-C, RD) is marked active.
What is KATHRYN JEAN BEANE (PA-C, RD)'s primary classification?
Physician Assistant is the headline specialty for KATHRYN JEAN BEANE (PA-C, RD) here. Clinical services aligned with this taxonomy classification.
What area does KATHRYN JEAN BEANE (PA-C, RD) serve?
KATHRYN JEAN BEANE (PA-C, RD)'s listing highlights Oakland, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
8 practice locations appear in the available data.

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