KENDA GENE BEEBE (FNP) – General Practice Registered Nurse, NPI 1558114579

KENDA GENE BEEBE (FNP) is a healthcare provider. based in Lago vista, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1190990 (TX). The NPI Number for KENDA GENE BEEBE (FNP) is 1558114579

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
KENDA GENE BEEBE (FNP)
NPI
1558114579
Phone
(512) 731-2881
Address
20923 Oak Dale Dr
Enumeration Date
9 April 2024
Last Update Date
3 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8009247811
Graduation Year
2024 (2 years ago)
PAC ID
9739675547
Group Practice PAC ID
0244601904
Professional Enrollment ID
I20260227003359
Address ID
MO631083725SA4625XBLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:2State licenses:3Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KENDA GENE BEEBE (FNP)

  • 20923 Oak Dale Dr

    Lago Vista, TX 786456535

    Phone: (512) 731-2881

    Type: Location

  • 440 N BARRANCA AVE # 1801

    COVINA, CA 917231722

    Phone: (800) 924-7811

    Fax: (877) 349-1868

    Type: Mailing

  • 7008 SALEM AVE STE 117

    LUBBOCK, TX 794242226

    Phone: (800) 924-7811

    Fax: (877) 349-1868

    Type: Location

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: 2026-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20251231002445INurse PractitionerTNTBD
I20260113001680INurse PractitionerOHTBD
I20260115000881INurse PractitionerPATBD
I20260226003454INurse PractitionerCOTBD
I20260227003102INurse PractitionerMITBD
I20260227003359INurse PractitionerMOTBD

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 78645)

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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: 0244601904View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerCA
Internal MedicineTX
Clinical PsychologistOH
Nurse PractitionerPA
Nurse PractitionerOH
Nurse PractitionerTN
Clinical Social WorkerCA
Nurse PractitionerTX
Family PracticeGA

Reviews

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Frequently asked questions

Can I verify KENDA GENE BEEBE (FNP) with an NPI only?
You can start verification with NPI 1558114579 for KENDA GENE BEEBE (FNP), then check state licensing separately.
Is KENDA GENE BEEBE (FNP) listed as active for patients and plans?
The listing shows KENDA GENE BEEBE (FNP) as active in the NPI system.
What is KENDA GENE BEEBE (FNP) best known for clinically?
Directory data describes KENDA GENE BEEBE (FNP) with General Practice Registered Nurse. Clinical services aligned with this taxonomy classification.
Does KENDA GENE BEEBE (FNP) list a practice location?
Patients near Lago Vista, Texas may find KENDA GENE BEEBE (FNP) in results; validate coverage separately.
Why does KENDA GENE BEEBE (FNP) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.