MRS. ANDREA DAWN BEARDEN NP-C NPI 1467606947

NPI Information

  • NPI: 1467606947
  • Provider Name: MRS. ANDREA DAWN BEARDEN, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2121 LAKE AVE
    FORT WAYNE, IN
    ZIP 46805
  • Phone: (260) 426-5431

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NPI Details

MRS. Andrea Dawn Bearden, NP-C is a family nurse practitioner in Fort Wayne, IN. MRS. Andrea Dawn Bearden, NP-C NPI is 1467606947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2121 LAKE AVE
FORT WAYNE, IN
ZIP 46805-100
Phone: (260) 426-5431

The NPI 1467606947 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 enumeration date for this NPI number is 11/10/2008 and was last updated on 5/4/2022.

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
1163W00000XRegistered Nurse28176632AINDIANANo
2363LF0000XNurse PractitionerFamily71002807AINDIANAYes

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
1P00969693OTHERINDIANARAILROAD MEDICARE
2200952160MEDICAIDINDIANA

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

NPI Synchronization or Removal

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