Beacon Pediatrics LLC
NPI 1689959538ActiveOrganization· Pediatrics· Rehoboth Beach, DE
Pediatrics in Rehoboth Beach, Delaware, registered in NPPES in October 2011. The authorized official on file is Nancy M. Gideon, MD, Md/Practice Owner. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1689959538 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 11, 2011 |
| Last updated in NPPES | May 9, 2025 |
| Certified by provider | May 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (DE) |
|---|
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