Physician Compare National (NPI:1306957006)

HEALTHCARE PROVIDER: TONYA DEANN BEINEMAN APN RNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1306957006
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315992773
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050317001107
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BEINEMAN
	Individual professional last name
Provider First Name	TONYA
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	NP
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3811 ROGERS AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	FORT SMITH
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	729033045
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	040055
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SPARKS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	040062
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY HOSPITAL FORT SMITH
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y