Bethann Marie Nuelle, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R25291 Issued in ND

Practice address

4700 S Washington St
Grand Forks, ND 58201-8123

Phone

(701) 757-2559

NPI assigned

Jan 30, 2006

Last updated

Feb 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Bethann Marie Lauf Other name

Medicare fee-for-service enrollment

Enrolled in ND, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bethann.nuelle.p1@direct.myallyhealth.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Altru Health System

  dba Altru Clinic Crookston

  • Clinic/Center
  • Crookston, MN
  • NPI 1760494330
  Medicare reassignment NPD
• Spectra Health

  • Federally Qualified Health Center (FQHC)
  • Grand Forks, ND
  • NPI 1114343423
  Medicare reassignment
• Altru Health System

  dba Altru Clinic - Warroad

  • Rural Health Clinic/Center
  • Warroad, MN
  • NPI 1689763195
  NPD
• Myally Health

  • Non-Surgical Family Planning Clinic/Center
  • Grand Forks, ND
  • NPI 1194922328
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1003887076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582018123",
            "telephone_number": "701-757-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582018123",
            "telephone_number": "701-757-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUELLE",
        "first_name": "BETHANN",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R25291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANN",
            "last_name": "LAUF",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacey Elizabeth Novak
• Leeann Jean Novak
• Michelle Novak, AUD
• Bryon Estel Novotny, LSW
• William Richard Noyes, M.D.
• David Bernhard Nuelle, CRNA
• Gabrielle Nuelle, RN
• Morgan Nunberg, MT-BC/L
• Carlos Eduardo Nunez, MD
• Estephania Nunez, MS, ATC, LAT

• Nurse Practitioner in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.