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Active NPI 1952486243 Individual Practitioner Female Practitioner

Beverly B Nickerson , NP

Specialist • Long Beach, CA

Professional Overview & Biography Verified Profile Summary

Beverly Nickerson, NP is a registered healthcare professional specializing in Specialist in Long Beach, CA. Practice services are available at 701 E 28TH ST STE 318 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

701 E 28th St Ste 318

Long Beach, CA 908062785

Telephone 5622908888
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Long Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.2 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
119 Specialists

Practicing in Long Beach, CA (6446 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA NP # 12061

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nurse Practitioner
12061 (CA)
Commercial Insurance / Payer ID Registered Nurse
300404 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1003840018

Doctor of Medicine (M.D.)

Doris Maniti

Specialist

NPI 1982709473

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 701 E 28TH ST STE 318, LONG BEACH, CA 908062785 (Tel: 5622908888)

📍
Updated Business Mailing Address July 08, 2007

Registered at 701 E 28TH ST STE 318, LONG BEACH, CA 908062785 (Tel: 5622908888)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BEVERLY NICKERSON, N.P

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #NP # 12061 in CA)

🟢
Initial NPI Registration & Enumeration October 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952486243
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

701 E 28th St Ste 318

Long Beach, CA 908062785

Phone: 5622908888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.