Individual provider Active NPI

Bethann Lizzi, CRNP

  • Nurse Practitioner
  • York, PA
National Provider Identifier
1023702867
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP027633 Issued in PA
Practice address
400 Pine Grove CMNS
York, PA 17403-5161
Phone
(717) 755-4422
NPI assigned
Jun 5, 2023
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP027633 PA Primary
Dermatology Physician 207N00000X SP027633 PA
Family Medicine Physician 207Q00000X SP027633 PA

Addresses

Primary practice location

400 Pine Grove CMNS
York, PA 17403-5161

Mailing address

730 Willow Ridge Dr
York, PA 17404-6604
Phone (443) 866-2755

Other practice location 1

38 S Belvidere Ave
York, PA 17401-3623
Phone (717) 855-5637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230712003881 PA Practitioner - Nurse Practitioner 8628438306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vohra Post Acute Care Physicians of the Northeast PAGroup PAC ID 9335378066, 34 clinicians

Practice addresses (Care Compare)

1200 Tel Hai Cir
Honey Brook, PA 19344-1271
Phone (610) 273-9333

1380 Elm Ave
Lancaster, PA 17603-4642
Phone (717) 392-4100

1800 Tulpehocken Rd
Wyomissing, PA 19610-1240
Phone (610) 374-3122

1800 Village Cir
Lancaster, PA 17603-2376
Phone (717) 397-4831

1901 N 5TH St
Harrisburg, PA 17102-1510
Phone (717) 221-7900

2100 Utz Ter
Hanover, PA 17331-9479
Phone (717) 637-0633

325 Sentry Pkwy Building 5
Suite 200
Blue Bell, PA 19422-2312
Phone (954) 399-4673

4905 E Trindle Rd
Mechanicsburg, PA 17050-3662
Phone (717) 737-4028

607 Hearthstone LN
Mount Joy, PA 17552-9687
Phone (717) 450-7562

867 York Rd
Gettysburg, PA 17325-7501
Phone (717) 337-3238

Merit-based Incentive Payment System (MIPS)

Final score
71.43 of 100Reported as group
Quality
42.85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027633PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Post Acute Care Physicians of the Northeast PA Family Medicine CurrentSince May 13, 2024 Accepting new patients
Dermatology & Skin Surgery Center of York, LLC Dermatology CurrentSince Aug 1, 2023 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

325 Sentry Pkwy
Bldg 5
Blue Bell, PA 19422
Phone (610) 277-3430

325 Sentry Pkwy E
Bldg 5W
Blue Bell, PA 19422
Phone (484) 664-8181

41 Newport Ave
Christiana, PA 17509
Phone (610) 593-6901

867 York Rd
Gettysburg, PA 17325
Phone (717) 337-3238

2630 Woodland Rd
Roslyn, PA 19001
Phone (215) 313-9358

400 Pine Grove Cmns
York, PA 17403
Phone (717) 755-2020

Interoperability endpoints

  • Direct secure messaging: blizzi416036@wellspan.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1023702867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 WILLOW RIDGE DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174046604",
            "telephone_number": "443-866-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PINE GROVE CMNS",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035161",
            "telephone_number": "717-755-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 S Belvidere Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174013623",
            "country_code": "US",
            "telephone_number": "717-855-5637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIZZI",
        "first_name": "BETHANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP027633",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "SP027633",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP027633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.