BEVERLY TIPPENS QUENNEVILLE (PA-C) – Medical Physician Assistant, NPI 1851308589

BEVERLY TIPPENS QUENNEVILLE (PA-C) is a healthcare provider. based in Gulf breeze, Florida. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA9103191 (FL). The NPI Number for BEVERLY TIPPENS QUENNEVILLE (PA-C) is 1851308589

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
BEVERLY TIPPENS QUENNEVILLE (PA-C)
NPI
1851308589
Phone
(800) 243-7546
Address
1200 Gulf Breeze Pkwy Ste A
Enumeration Date
2 August 2006
Last Update Date
23 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8502505790
Graduation Year
2004 (22 years ago)
PAC ID
9638112295
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20050604000042

Contacts

Secure Messaging
Beverly.Quenneville@forefrontdermatology.emadirect.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for BEVERLY TIPPENS QUENNEVILLE (PA-C)

  • 1200 Gulf Breeze Pkwy Ste A

    Gulf Breeze, FL 325614855

    Phone: (800) 243-7546

    Fax: (850) 484-8223

    Type: Location

  • 540 Fontaine St

    Pensacola, FL 325032019

    Phone: (800) 243-7546

    Fax: (850) 484-8223

    Type: Location

  • 530, Fontaine Street, Brent, Pensacola, Escambia County, Florida, 32503, United States

    PENSACOLA, FL 32503

    Phone: (800) 243-7546

    Fax: (850) 484-8223

    Type: Location

  • York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $328.

Total Amount is formed as General ($328) + Research ($0) + Ownership ($0) = $328.

Last reported payment date: 2023-09-28 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($64).

Total Amount

$328

General + Research + Ownership

Payments

18

Total payment records

General Amount

$328

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-28

Latest reported date

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
17003Destruction of precancer skin growth, 2-14 growths2,601411$0
99213Established patient office or other outpatient visit, 20-29 minutes1,130844$0
17000Destruction of precancer skin growth, 1 growth675524$0
11102Biopsy of related skin growth, first growth450370$0
11103Biopsy of related skin growth, each additional growth303162$0
View full utilization report →

Insurance plans in this area (ZIP 32561)

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Provider's Procedures

BEVERLY TIPPENS QUENNEVILLE (PA-C) performs procedures in Medical Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL17003Destruction of 2-14 skin growths5230743

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: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for BEVERLY TIPPENS QUENNEVILLE (PA-C)?
BEVERLY TIPPENS QUENNEVILLE (PA-C) — NPI 1851308589 — is the standard way to identify this listing.
Does CMS list BEVERLY TIPPENS QUENNEVILLE (PA-C) as active?
Yes — BEVERLY TIPPENS QUENNEVILLE (PA-C) is active in the NPI listing used on this page.
What is BEVERLY TIPPENS QUENNEVILLE (PA-C) best known for clinically?
Directory data describes BEVERLY TIPPENS QUENNEVILLE (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does BEVERLY TIPPENS QUENNEVILLE (PA-C) list a practice location?
Patients near Gulf Breeze, Florida may find BEVERLY TIPPENS QUENNEVILLE (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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