# MR. DOUGLAS WAYNE BECKER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184879736
- **Gender:** Man
- **Credential:** N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 10395 | OH | — |
| 363L00000X | Nurse Practitioner | 3003519 | KY | Yes |
| 363L00000X | Nurse Practitioner | 71001655A | IN | — |
| 363LF0000X | Family Nurse Practitioner | 10395 | OH | — |

## Other

- **Enumeration date:** 11/24/2008
- **Last updated:** 12/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 611300608056 | CARESOURCE | OH |
| 05 | — | 78006475 | — | KY |
| 01 | — | P00873403 | RAILROAD MEDICARE | OH |