BEVERLY JOY LA MADRID (CRNA) – Certified Registered Nurse Anesthetist, NPI 1962709683

BEVERLY JOY LA MADRID (CRNA) is a healthcare provider. based in Beloit, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R128766 (MD). The NPI Number for BEVERLY JOY LA MADRID (CRNA) is 1962709683

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
BEVERLY JOY LA MADRID (CRNA)
NPI
1962709683
Phone
(608) 362-7444
Address
3005 S RIVERSIDE DR STE 206
Enumeration Date
15 February 2011
Last Update Date
25 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6083645011
Graduation Year
2010 (16 years ago)
PAC ID
4486830320
Group Practice PAC ID
9638530991
Professional Enrollment ID
I20130716000298
Address ID
WI535112230BE1969XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

Provider Addresses for BEVERLY JOY LA MADRID (CRNA)

  • 3005 S RIVERSIDE DR STE 206

    BELOIT, WI 535111500

    Phone: (608) 362-7444

    Type: Mailing

  • 1969 W HART RD

    BELOIT, WI 535112230

    Phone: (608) 362-7444

    Type: Location

  • 22 S Greene St

    Baltimore, MD 212011544

    Phone: (410) 328-6120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $254.

Total Amount is formed as General ($254) + Research ($0) + Ownership ($0) = $254.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($139).

Total Amount

$254

General + Research + Ownership

Payments

11

Total payment records

General Amount

$254

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2013-07-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110915000869ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20130716000298ICertified Registered Nurse Anesthetist (Crna)WITBD

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
00811Anesthesia for other procedure on large bowel using an endoscope9290$0
00813Anesthesia for procedure on small and large bowel using an endoscope8989$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope7570$0
View full utilization report →

Insurance plans in this area (ZIP 53511)

Loading plans...

Provider's Procedures

BEVERLY JOY LA MADRID (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETMD00142Anesthesia for lens surgery8882

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: 9638530991View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
Critical Care (Intensivists), AnesthesiologyPA
A N E S T H E S I O L O G YWI
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)KS

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for BEVERLY JOY LA MADRID (CRNA)?
Save NPI 1962709683 if you need a stable reference for BEVERLY JOY LA MADRID (CRNA).
Is BEVERLY JOY LA MADRID (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does BEVERLY JOY LA MADRID (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for BEVERLY JOY LA MADRID (CRNA). Clinical services aligned with this taxonomy classification.
What location shows for BEVERLY JOY LA MADRID (CRNA)?
We surface Beloit, Wisconsin for BEVERLY JOY LA MADRID (CRNA) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

DAWN M RUECKER (CRNA)

Certified Registered Nurse Anesthetist
PO BOX 249
NPI: 1205059235

SAJA C PUTHIYOTTIL (CRNA)

Certified Registered Nurse Anesthetist
Beloit Memorial Hospital, 1969, West Hart Road, City of Beloit, Rock County, Wisconsin, 53511, United States
NPI: 1285093351

RACHAEL TSE

Certified Registered Nurse Anesthetist
3700 OAK LANE DR
NPI: 1932728201

JACLYN LUCIANO (CRNA)

Certified Registered Nurse Anesthetist
PO BOX 686
NPI: 1609546498