Individual provider Active NPI

Bethany K Schultz, CNP

  • Family Nurse Practitioner
  • Watertown, SD
National Provider Identifier
1013263979
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000730 Issued in SD
Practice address
901 4TH St NW
Watertown, SD 57201-1558
Phone
(605) 886-8471
NPI assigned
Jul 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP4220 MN
Family Nurse Practitioner 363LF0000X CP000730 SD Primary

Addresses

Primary practice location

901 4TH St NW
Watertown, SD 57201-1558

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

112 Saint Olaf Ave S
Canby, MN 56220-1433
Phone (507) 223-7277

Other practice location 2

211 N Commercial St Ste B
Clark, SD 57225-1532
Phone (605) 532-3676

Other identifiers 1

IdentifierTypeStateIssuer
CNP4220OtherMNMN BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bschultz7253852@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, 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

Enrollment IDStateProvider typePAC IDDetails
I20121107000280 SD Practitioner - Nurse Practitioner 6406007079 Reassigns benefits to 3 organizations
I20151223001512 MN Practitioner - Nurse Practitioner 6406007079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

901 4TH St NW
Watertown, SD 57201-1558
Phone (605) 886-8471

Hospital & facility affiliations

  • Prairie Lakes Healthcare System, Inc Hospital, Watertown, SD, CCN 430005
  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP4220MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Health Network CurrentSince Apr 11, 2025 Accepting new patients
Sanford Clinic CurrentSince Nov 21, 2017 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Health Network CurrentSince Nov 21, 2015 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Clinic CurrentSince Nov 21, 2017 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Health Network Past Accepting new patients

Locations

211 N Commercial St
Ste B
Clark, SD 57225
Phone (605) 532-3676

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

506 1st Ave SE
Watertown, SD 57201
Phone (605) 884-4247

901 4th St NW
Watertown, SD 57201
Phone (605) 882-8780

101 Peabody Dr
Ste 101
Webster, SD 57274
Phone (605) 345-4141

101 Peabody Dr
Webster, SD 57274
Phone (605) 226-5500

Organizations & group practices 11

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1013263979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 4TH ST NW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011558",
            "telephone_number": "605-886-8471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Saint Olaf Ave S",
            "address_purpose": "LOCATION",
            "city": "Canby",
            "state": "MN",
            "postal_code": "562201433",
            "country_code": "US",
            "telephone_number": "507-223-7277",
            "fax_number": "507-223-7886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 N Commercial St Ste B",
            "address_purpose": "LOCATION",
            "city": "Clark",
            "state": "SD",
            "postal_code": "572251532",
            "country_code": "US",
            "telephone_number": "605-532-3676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "BETHANY",
        "middle_name": "K",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP4220",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BOARD OF NURSING",
            "identifier": "CNP4220",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bschultz7253852@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "112 Saint Olaf Ave S",
            "city": "Canby",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562201433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

Verify at the official NPI Registry.