MR. MICHAEL WAYNE BERES FNP NPI 1275504185

NPI Information

  • NPI: 1275504185
  • Provider Name: MR. MICHAEL WAYNE BERES, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 400 JOHNSON RIDGE RD
    ELKIN, NC
    ZIP 28621
  • Phone: (336) 526-4500

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NPI Details

MR. Michael Wayne Beres, FNP is a family nurse practitioner in Elkin, NC with 30 years of experience. MR. Michael Wayne Beres, FNP NPI is 1275504185. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

400 JOHNSON RIDGE RD
ELKIN, NC
ZIP 28621-418
Phone: (336) 526-4500
Fax: (336) 526-8626

The NPI 1275504185 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Injection, methylprednisolone acetate, 20 mg (HCPCS:J1020)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)

The enumeration date for this NPI number is 1/30/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily201050NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S63543MEDICARE UPINNORTH CAROLINA
22598806DMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
37003692MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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