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Active NPI 1417113523 Individual Practitioner Female Practitioner

Beverly J Hargrove , APRN

Nurse Practitioner - Pediatrics • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Beverly Hargrove, APRN is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Tyler, TX. Practice services are available at 2990 N BROADWAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2990 N Broadway Ave

Tyler, TX 757022149

Telephone 9035359041
Fax 9035923886
Associated Practice Facility / Clinic
🏢 Mother Frances Hospital Facility NPI 1780717439

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Tyler, TX (2253 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

CMS Verified: 2024-11-20
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX AP117038

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License TX 606422

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Joshua Morgan , MD

Family Medicine

NPI 1003304452

Doctor of Medicine (M.D.)

Amanda Walsh , APRN

Nurse Practitioner - Pediatrics

NPI 1003517244

Advanced Practice Registered Nurse

NPI 1043206147

Doctor of Medicine (M.D.)

Linda Isabell , RN, BSN, MBA

Registered Nurse - Case Management

NPI 1073688180

Registered Nurse, Bachelor of Science in Nursing, Master of Business Administration

NPI 1114307790

Doctor of Osteopathic Medicine (D.O.)

Donna Jackson

Nurse Practitioner

NPI 1114531217

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location August 23, 2023

Registered at 2990 N BROADWAY AVE, TYLER, TX 757022149 (Tel: 9035359041)

📍
Updated Business Mailing Address August 23, 2023

Registered at 523 S FANNIN AVE, TYLER, TX 757028204 (Tel: 9035359041)

📍
Updated Practice Location June 05, 2020

Registered at 1446 W MOORE AVE STE 206, TERRELL, TX 751602372 (Tel: 9722107350)

📍
Updated Business Mailing Address June 05, 2020

Registered at 1446 W MOORE AVE STE 206, TERRELL, TX 751602372 (Tel: 9722107350)

👤
Provider Name / Credentials Updated June 05, 2020

Recorded as BEVERLY HARGROVE, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2020

Registered Nurse (License #606422 in TX)

NPI Profile Active March 06, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2014

Registered at 4211 JOE RAMSEY BLVD E, SUITE 100, GREENVILLE, TX 754017852 (Tel: 9034087700)

📍
Updated Business Mailing Address March 06, 2014

Registered at 4211 JOE RAMSEY BLVD, SUITE 100, GREENVILLE, TX 754017828 (Tel: 9034087700)

👤
Provider Name / Credentials Updated March 06, 2014

Recorded as BEVERLY HARGROVE, PNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2014

Nurse Practitioner (License #606422 in TX)

🟢
Initial NPI Registration & Enumeration July 29, 2008

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: 1417113523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2008
Last Update: November 20, 2024
Sole Proprietor: No

Mailing Address

523 S Fannin Ave

Tyler, TX 757028204

Phone: 9035359041

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.