JAMES DAVID BEEBOUT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1649201047

JAMES DAVID BEEBOUT (CRNA) is a healthcare provider. based in Marion, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN245767 (OH). The NPI Number for JAMES DAVID BEEBOUT (CRNA) is 1649201047

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JAMES DAVID BEEBOUT (CRNA)
NPI
1649201047
Phone
(740) 383-7778
Address
1050 DELAWARE AVE
Enumeration Date
5 July 2006
Last Update Date
7 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4194680505
Graduation Year
2001 (25 years ago)
PAC ID
2769389899
Group Practice PAC ID
3274437082
Professional Enrollment ID
I20040611000364
Address ID
OH449061267ON2981XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

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Provider Addresses for JAMES DAVID BEEBOUT (CRNA)

  • 1050, Delaware Avenue, Marion, Marion Township, Marion County, Ohio, 43302, United States

    MARION, OH 433026416

    Phone: (740) 383-7778

    Fax: (740) 375-8118

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-06-11

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
I20040611000364ICertified Registered Nurse Anesthetist (Crna)OHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43302)

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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: 3274437082View full group profile
NameSpecialtyState
-OH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Internal MedicineOH
E N D O C R I N O L O G YOH
Cardiovascular Disease (Cardiology), Internal MedicineOH
Emergency MedicineOH
-OH
Internal MedicineOH

Reviews

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Frequently asked questions

Can I use this page to confirm JAMES DAVID BEEBOUT (CRNA)'s NPI?
Yes. JAMES DAVID BEEBOUT (CRNA) is listed with NPI 1649201047 in the public NPI dataset.
Can I rely on JAMES DAVID BEEBOUT (CRNA) being an active provider?
As of the registry snapshot, JAMES DAVID BEEBOUT (CRNA) is marked active.
What is JAMES DAVID BEEBOUT (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for JAMES DAVID BEEBOUT (CRNA) here. Clinical services aligned with this taxonomy classification.
Where should I expect JAMES DAVID BEEBOUT (CRNA) on a map?
Expect Marion, Ohio as a primary anchor for JAMES DAVID BEEBOUT (CRNA) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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