CHADWICK DALE BEAVER (ACNP) – Acute Care Nurse Practitioner, NPI 1194054239

CHADWICK DALE BEAVER (ACNP) is a healthcare provider. based in Lubbock, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. AP118578 (TX). The NPI Number for CHADWICK DALE BEAVER (ACNP) is 1194054239

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
CHADWICK DALE BEAVER (ACNP)
NPI
1194054239
Phone
(806) 725-5844
Address
2215 NASHVILLE AVE
Enumeration Date
21 December 2009
Last Update Date
20 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067910399
Graduation Year
2009 (17 years ago)
PAC ID
9436343530
Group Practice PAC ID
6901889393
Professional Enrollment ID
I20101103000131
Address ID
TX794101229LU3601XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for CHADWICK DALE BEAVER (ACNP)

  • 2215, Nashville Avenue, Maedgen, Lubbock, Lubbock County, Texas, 79410, United States

    LUBBOCK, TX 794101105

    Phone: (806) 725-5844

    Fax: (806) 723-6532

    Type: Mailing

  • Smith D'Alise Neurosurgery LLP, 4408, 6th Street, Lubbock, Lubbock County, Texas, 79416, United States

    LUBBOCK, TX 794164732

    Phone: (806) 791-0399

    Fax: (806) 791-0373

    Type: Location

  • 3601 21ST ST

    LUBBOCK, TX 794101229

    Phone: (806) 791-0399

    Fax: (806) 791-0373

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Integra LifeSciences Corporation ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-01

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: 2010-11-03

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
I20101103000131INurse PractitionerTXTBD

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 minutes2522$0
View full utilization report →

Insurance plans in this area (ZIP 79410)

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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: 6901889393View full group profile

Reviews

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Frequently asked questions

How do payers reference CHADWICK DALE BEAVER (ACNP)?
For CHADWICK DALE BEAVER (ACNP), use NPI 1194054239 as the unique 10-digit identifier.
Is there an active status for CHADWICK DALE BEAVER (ACNP)?
For scheduling context, CHADWICK DALE BEAVER (ACNP) is shown as active in the registry.
What expertise is attributed to CHADWICK DALE BEAVER (ACNP)?
CHADWICK DALE BEAVER (ACNP)'s specialty line reads Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is CHADWICK DALE BEAVER (ACNP) registered?
Use Lubbock, Texas as the headline location for CHADWICK DALE BEAVER (ACNP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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