AUTUMN BEASLEY – Family Nurse Practitioner, NPI 1699075960

AUTUMN BEASLEY is a healthcare provider. based in Lubbock, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 737829 (TX). The NPI Number for AUTUMN BEASLEY is 1699075960

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
AUTUMN BEASLEY
NPI
1699075960
Phone
(806) 761-0747
Address
3502 9TH ST
Enumeration Date
2 November 2010
Last Update Date
18 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067712400
Graduation Year
2010 (16 years ago)
PAC ID
5496936544
Group Practice PAC ID
7719963982
Professional Enrollment ID
I20110222000835
Address ID
TX794242862LU5220XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for AUTUMN BEASLEY

  • 3502 9TH ST

    SUITE 360

    LUBBOCK, TX 794153300

    Phone: (806) 761-0747

    Fax: (806) 761-0751

    Type: Location

  • 5219 CITY BANK PKWY STE 135

    LUBBOCK, TX 794073595

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 130 Open Payments records for all available years, with a total value of $1,804.

Total Amount is formed as General ($1,804) + Research ($0) + Ownership ($0) = $1,804.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($673).

Total Amount

$1,804

General + Research + Ownership

Payments

130

Total payment records

General Amount

$1,804

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2011-02-22

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
I20110222000835INurse 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
36415Insertion of needle into vein for collection of blood sample593446$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count535412$0
80053Blood test, comprehensive group of blood chemicals452374$0
99213Established patient office or other outpatient visit, 20-29 minutes367333$0
99214Established patient office or other outpatient visit, 30-39 minutes340277$0
View full utilization report →

Insurance plans in this area (ZIP 79415)

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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: 7719963982View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
R H E U M A T O L O G YTX
R H E U M A T O L O G YTX
R H E U M A T O L O G YTX

Reviews

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Frequently asked questions

Is AUTUMN BEASLEY listed with a National Provider Identifier?
Yes — AUTUMN BEASLEY has NPI 1699075960 on file in the registry.
Is AUTUMN BEASLEY still an active registrant?
AUTUMN BEASLEY carries an active NPI according to the public dataset.
What expertise is attributed to AUTUMN BEASLEY?
AUTUMN BEASLEY's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AUTUMN BEASLEY?
Travel planning: use Lubbock, Texas as the reference point for AUTUMN BEASLEY, then confirm.
Can I trust this NPI listing for AUTUMN BEASLEY?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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