ANNE THERESE BEAUCHAMP (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003672528
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for ANNE THERESE BEAUCHAMP (PMHNP)
1152 48TH ST SE
KENTWOOD, MI 495084724
Phone: (616) 460-1824
Type: Mailing
1055 MEDICAL PARK DR SE
GRAND RAPIDS, MI 495468323
Phone: (616) 942-9610
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 73 Open Payments records for all available years, with a total value of $1,114.
Total Amount is formed as General ($1,114) + Research ($0) + Ownership ($0) = $1,114.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($245).
Total Amount
$1,114
General + Research + Ownership
Payments
73
Total payment records
General Amount
$1,114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-05-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240524002478 | I | Nurse Practitioner | MI | 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 49508)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MI | |
| P S Y C H I A T R Y | MI | |
| Psychiatry, Geriatric Psychiatry | MI | |
| P S Y C H I A T R Y | TN | |
| P S Y C H I A T R Y | KS | |
| Nurse Practitioner | MI | |
| P S Y C H I A T R Y | MI | |
| P S Y C H I A T R Y | MI | |
| P S Y C H I A T R Y | MI | |
| Nurse Practitioner | MI |
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