Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1669758447 Deactivated / Inactive NPI Male Practitioner

Carl Beasley

Case Manager/Care Coordinator • Marion, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carl Beasley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 25, 2011
NPI Deactivation Date April 09, 2019
Total Practice Duration ~8 Years of Practice (2011 – 2019)

Professional Overview & Biography Verified Profile Summary

Carl Beasley was a registered Case Manager/Care Coordinator practicing in Marion, IL. Throughout an active medical career spanning 8 years, Carl Beasley provided care at the practice location at 1307 W MAIN ST until profile deactivation on 2019-04-09.

Practice Location & Contact Primary Location

Practice Address

1307 W Main St

Marion, IL 629591139

Telephone 6189975336
Fax 6189932969
Associated Practice Facility / Clinic
🏢 Centerstone Of Illinois, Inc Facility NPI 1386969533

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Marion, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.9 Yrs
Regional Practice Density
35 Specialists

Practicing in Marion, IL (1146 Statewide)

Telehealth Adoption Rate
0.0% 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

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Heather Sims

Counselor - Addiction (Substance Use Disorder)

NPI 1003192261
NPI 1003506395

Bachelor of Arts

Darlene Richerson

Case Manager/Care Coordinator

NPI 1023394566
NPI 1033000971

Bachelor of Arts

NPI 1053639443
NPI 1053697060

Master of Arts

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 09, 2019

Record deactivated on April 09, 2019

NPI Profile Active October 25, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 25, 2011

Registered at 1307 W MAIN ST, MARION, IL 629591139 (Tel: 6189975336)

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Updated Business Mailing Address October 25, 2011

Registered at PO BOX 12, GALATIA, IL 629350012 (Tel: 6189263372)

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Provider Name / Credentials Updated October 25, 2011

Recorded as CARL BEASLEY

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2011

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration October 25, 2011

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: 1669758447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2011
Last Update: October 25, 2011
Deactivation Date: April 09, 2019

Mailing Address

Po Box 12

Galatia, IL 629350012

Phone: 6189263372

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.