MRS. MICHELLE KRISTIE BEAHM NP NPI 1871739995

NPI Information

  • NPI: 1871739995
  • Provider Name: MRS. MICHELLE KRISTIE BEAHM, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5555 N PORT WASHINGTON RD STE 200
    GLENDALE, WI
    ZIP 53217
  • Phone: (262) 999-3495

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NPI Details

MRS. Michelle Kristie Beahm, NP is a psychiatric/mental health nurse practitioner in Glendale, WI. MRS. Michelle Kristie Beahm, NP NPI is 1871739995. 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:

5555 N PORT WASHINGTON RD STE 200
GLENDALE, WI
ZIP 53217-927
Phone: (262) 999-3495

The NPI 1871739995 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 12/18/2008 and was last updated on 3/4/2025.

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 Nurse161780-030WISCONSINNo
2363L00000XNurse Practitioner15751WISCONSINNo
3363LP0808XNurse PractitionerPsychiatric/Mental Health15751-33WISCONSINYes

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
11871739995MEDICAIDWISCONSIN

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: 3/30/2025

NPI Synchronization or Removal

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