Mr Jonathan Ryan Beatty, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Us Air Force Academy, Colorado. His current practice location is
4102 Pinion Dr, Us Air Force Academy, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 333-5115.
Mr Jonathan Ryan Beatty is licensed to practice in Alaska (license number 126894) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861829400.
Provider's Profile
Full Name | Mr Jonathan Ryan Beatty |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 4102 Pinion Dr, Us Air Force Academy, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861829400
- Provider Enumeration Date: 09/27/2013
- Last Update Date: 04/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 6608184783
- Enrollment ID: I20151009001596
Medical Identifiers
Medical identifiers for Mr Jonathan Ryan Beatty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861829400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 126894 (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jonathan Ryan Beatty is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jonathan Ryan Beatty, FNP-C 4102 Pinion Dr, Us Air Force Academy, CO 80840-2502 Ph: () - | Mr Jonathan Ryan Beatty, FNP-C 4102 Pinion Dr, Us Air Force Academy, CO 80840-2502 Ph: (719) 333-5115 |
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