DR. NOLAN JACKSON BEAVERS (M.D,) – Family Medicine Physician, NPI 1104921782

DR. NOLAN JACKSON BEAVERS (M.D,) is a healthcare provider. based in Belleville, Kansas. specializing in FAMILY PRACTICE, GENERAL PRACTICE. They hold the professional credentials M.D,. They hold a License No. 04-30225 (KS). The NPI Number for DR. NOLAN JACKSON BEAVERS (M.D,) is 1104921782

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. NOLAN JACKSON BEAVERS (M.D,)
NPI
1104921782
Phone
(785) 527-2217
Address
2337 G ST
Enumeration Date
14 September 2006
Last Update Date
23 January 2009

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
7855272217
Graduation Year
2002 (24 years ago)
PAC ID
0143213637
Group Practice PAC ID
0446211684
Professional Enrollment ID
I20040408000689
Address ID
KS669352462BE2337XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

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Provider Addresses for DR. NOLAN JACKSON BEAVERS (M.D,)

  • 2337, G Street, Belleville, Republic County, Kansas, 66935, United States

    BELLEVILLE, KS 669352463

    Phone: (785) 527-2217

    Fax: (785) 527-5929

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $575.

Total Amount is formed as General ($575) + Research ($0) + Ownership ($0) = $575.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($224).

Total Amount

$575

General + Research + Ownership

Payments

35

Total payment records

General Amount

$575

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2004-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040408000689IFamily PracticeKSTBD

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 minutes895356$0
J0897Injection, denosumab, 1 mg72012$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg70072$0
36415Insertion of needle into vein for collection of blood sample647340$0
99213Established patient office or other outpatient visit, 20-29 minutes606310$0
View full utilization report →

Insurance plans in this area (ZIP 66935)

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Provider's Procedures

DR. NOLAN JACKSON BEAVERS (M.D,) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEKS45378Diagnostic examination of large bowel using an endoscope1212
FAMILY MEDICINEKS85610Blood test, clotting time36640
FAMILY MEDICINEKS93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1614

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: 0446211684View full group profile
NameSpecialtyState
Colorectal Surgery (Proctology), General Surgery, General SurgeryKS
Nurse PractitionerKS
Family PracticeKS
Family PracticeNE
Nurse PractitionerKS
Family PracticeTX
Nurse PractitionerKS

Reviews

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Frequently asked questions

Is there an official ID for DR. NOLAN JACKSON BEAVERS (M.D,) in U.S. healthcare records?
The official identifier for DR. NOLAN JACKSON BEAVERS (M.D,) is NPI 1104921782.
Active or inactive — what applies to DR. NOLAN JACKSON BEAVERS (M.D,)?
You should see DR. NOLAN JACKSON BEAVERS (M.D,) as active in CMS-hosted NPPES data.
What kind of doctor is DR. NOLAN JACKSON BEAVERS (M.D,)?
DR. NOLAN JACKSON BEAVERS (M.D,) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. NOLAN JACKSON BEAVERS (M.D,)?
Travel planning: use Belleville, Kansas as the reference point for DR. NOLAN JACKSON BEAVERS (M.D,), then confirm.
Can I trust this NPI listing for DR. NOLAN JACKSON BEAVERS (M.D,)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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