BEACON INTEGRATED HEALTHCARE – Family Nurse Practitioner, NPI 1164176749

BEACON INTEGRATED HEALTHCARE is a healthcare provider. based in De kalb, Texas. specializing in Family Nurse Practitioner. The NPI Number for BEACON INTEGRATED HEALTHCARE is 1164176749

Main info

Organization
Name
BEACON INTEGRATED HEALTHCARE
NPI
1164176749
Phone
(903) 417-5377
Address
PO BOX 369
Authorized Official
MR. ANTONIO D. INGRAM CEO FNP-BC
Enumeration Date
11 February 2022
Last Update Date
11 February 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for BEACON INTEGRATED HEALTHCARE

  • PO BOX 369

    DE KALB, TX 755590369

    Phone: (903) 417-5377

    Type: Mailing

  • 118 WOOD ST OFC 1

    DE KALB, TX 755592112

    Phone: (903) 417-5377

    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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 75559)

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Reviews

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Frequently asked questions

Is BEACON INTEGRATED HEALTHCARE listed with a National Provider Identifier?
Yes — BEACON INTEGRATED HEALTHCARE has NPI 1164176749 on file in the registry.
Is BEACON INTEGRATED HEALTHCARE shown as active in public data?
Registry records indicate BEACON INTEGRATED HEALTHCARE maintains an active NPI.
How would a patient describe BEACON INTEGRATED HEALTHCARE's focus?
For BEACON INTEGRATED HEALTHCARE, the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with BEACON INTEGRATED HEALTHCARE?
Directory geography for BEACON INTEGRATED HEALTHCARE centers on De Kalb, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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