SALLY J BEAYON (FNP-C) – Family Medicine Physician, NPI 1124672340

SALLY J BEAYON (FNP-C) is a healthcare provider. based in Rutland, Vermont. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 101.0134375 (VT). The NPI Number for SALLY J BEAYON (FNP-C) is 1124672340

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SALLY J BEAYON (FNP-C)
NPI
1124672340
Phone
(802) 773-1551
Address
1 General Wing Rd
Enumeration Date
25 July 2019
Last Update Date
30 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8024685641
Graduation Year
2019 (7 years ago)
PAC ID
3870824998
Group Practice PAC ID
2961467386
Professional Enrollment ID
I20191003002431
Address ID
VT057329647BO275XXNXXX400

Contacts

Main Contact
Rutland
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

721 NURSE PRACTITIONER in VT

Provider Addresses for SALLY J BEAYON (FNP-C)

  • 1 General Wing Rd

    Rutland, VT 057014681

    Phone: (802) 773-1551

    Type: Location

  • 278 Vt Route 149

    West Pawlet, VT 057759798

    Phone: (802) 645-0580

    Type: Location

  • 2987 Vt Route 22A

    Shoreham, VT 057709728

    Phone: (802) 897-7000

    Type: Location

  • 420 Grove St

    Brandon, VT 057339062

    Phone: (802) 247-6305

    Type: Location

  • 71 Allen St Ste 403

    Rutland, VT 057014570

    Phone: (802) 772-7992

    Type: Location

  • 215 Stratton Rd

    Rutland, VT 057014621

    Phone: (802) 773-3386

    Type: Location

  • 8, The Commons, Pittsfield, Rutland County, Vermont, 05762, United States

    RUTLAND, VT 057014651

    Phone: (802) 770-1805

    Type: Location

  • 97 FREEMAN HL

    PITTSFORD, VT 057639575

    Phone: (802) 483-0031

    Type: Mailing

  • 275 ROUTE 30 N

    BOMOSEEN, VT 057329647

    Phone: (802) 468-5641

    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: 2019-10-03

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
I20191003002431INurse PractitionerVTTBD

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
83036Hemoglobin a1c level6436$0
36415Insertion of needle into vein for collection of blood sample5145$0
View full utilization report →

Insurance plans in this area (ZIP 05701)

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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: 2961467386View full group profile
NameSpecialtyState
Nurse PractitionerVT
Pediatric Medicine, Internal MedicineAZ
-VT
-VT
Family PracticeVT
Physician AssistantVT
-VT
Nurse PractitionerFL
Internal Medicine, Obstetrics/Gynecology, Family PracticeVT
-VT

Reviews

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Frequently asked questions

Can I verify SALLY J BEAYON (FNP-C) with an NPI only?
You can start verification with NPI 1124672340 for SALLY J BEAYON (FNP-C), then check state licensing separately.
Is SALLY J BEAYON (FNP-C) still practicing?
SALLY J BEAYON (FNP-C) is currently listed as active in the public NPI registry.
What taxonomy line describes SALLY J BEAYON (FNP-C)?
For research purposes, treat SALLY J BEAYON (FNP-C) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SALLY J BEAYON (FNP-C) on a map?
Expect Rutland, Vermont as a primary anchor for SALLY J BEAYON (FNP-C) unless the record lists multiple sites.
How many locations tie to this NPI?
9 practice locations appear in the available data.

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