BEVERLY ANNE WINN (FNP) – Family Nurse Practitioner, NPI 1134554033
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for BEVERLY ANNE WINN (FNP)
105 Canyon Lake Cir
Lumberton, TX 776573701
Phone: (409) 200-2220
Fax: (409) 440-3344
Type: Location
1104 E CENTRAL BLVD
ANADARKO, OK 730054406
Phone: (405) 247-6685
Fax: (405) 247-2043
Type: Mailing
4749 Odom Rd
Beaumont, TX 777067080
Phone: (409) 200-2220
Fax: (409) 440-3344
Type: Location
3000 N GRAND BLVD
OKLAHOMA CITY, OK 731071818
Phone: (405) 632-6688
Type: Mailing
718 W PETREE RD
ANADARKO, OK 730056024
Phone: (405) 632-6688
Type: Location
156 S MAIN ST STE 120
LUMBERTON, TX 776577882
Phone: (409) 200-2220
Type: Mailing
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: 2019-08-22
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 |
|---|---|---|---|---|
| I20131030001424 | I | Nurse Practitioner | OK | TBD |
| I20190822001793 | I | Nurse Practitioner | TX | 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 77657)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| Family Practice | OK | |
| Certified Nurse Midwife (Cnm) | OK | |
| Family Practice | OK | |
| Family Practice | OK | |
| - | OK | |
| Internal Medicine | OK | |
| Nurse Practitioner | OK |
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