MRS. ANNETTE D BEASLEY (M.D.) – Family Medicine Physician, NPI 1063504207
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for MRS. ANNETTE D BEASLEY (M.D.)
14291 NE 47th Ave
Anthony, FL 326172513
Phone: (812) 267-0686
Type: Location
14291 NE 47TH AVE
ANTHONY, FL 326172513
Phone: (812) 267-0686
Type: Mailing
Jackson Purchase Medical Center, 1099, Medical Center Circle, Mayfield, Graves County, Kentucky, 42066, United States
MAYFIELD, KY 420661159
Phone: (812) 267-0686
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $499.
Total Amount is formed as General ($499) + Research ($0) + Ownership ($0) = $499.
Last reported payment date: 2024-02-20 • Largest payer in this snapshot: PFIZER INC. ($165).
Total Amount
$499
General + Research + Ownership
Payments
23
Total payment records
General Amount
$499
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $165 |
| Novo Nordisk Inc | $136 |
| Neurelis, Inc. | $56 |
| Otsuka America Pharmaceutical, Inc. | $28 |
| Abbott Laboratories | $22 |
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: 2016-01-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040420000512 | I | Family Practice | IN | TBD |
| I20160120002594 | I | Family Practice | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 212 | 74 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 100 | 58 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 33 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 33 | 33 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 32617)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| Internal Medicine, Hospitalist, Family Practice | IN | |
| Nurse Practitioner | NC | |
| Hospitalist, Internal Medicine, Hospitalist | LA | |
| Nurse Practitioner | IN | |
| Emergency Medicine | IL | |
| Internal Medicine | KY | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN |
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