Doctor profile · Federal record
Dr. Wanda Beaver
Family Nurse Practitioner (CMS: Nurse Practitioner) · Dyersburg, TN
- NPI 1396160222
- 12 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1999 Saint John Ave
Dyersburg, TN 380242117
(731) 286-1400
fax (731) 286-0109 - Mailing address
-
1037 Roellen Newbern RD
Dyersburg, TN 380247827
Credentials & registration
- NPI registered
- March 2014 — 12 yrs on file
- Profile last updated
- May 9, 2023
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Tennessee #18855
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396160222. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$146
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Kerecis Limited | 1 | $113.98 | |
| Advanced Oxygen Therapy INC. | 2 | $31.95 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Wanda Beaver's medical specialty?
Dr. Wanda Beaver practices Family Nurse Practitioner in Dyersburg, TN.
Where does Dr. Wanda Beaver practice?
Dr. Wanda Beaver practices at 1999 Saint John Ave, Dyersburg, TN 380242117. Office phone: 7312861400.
What is Dr. Wanda Beaver's NPI?
Dr. Wanda Beaver's National Provider Identifier (NPI) is 1396160222, issued by NPPES.
Does Dr. Wanda Beaver accept Medicare assignment?
Dr. Wanda Beaver does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.