Bethel Medical Group

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BETHEL MEDICAL GROUP

Practice address

6045 Hagen Ranch Rd Ste 4
Lake Worth, FL 33467-7251

Phone

(561) 433-9331

Fax

(561) 433-8411

NPI assigned

Jan 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Naomi Madistin, DNP

Title

Owner

Phone

(561) 420-3346

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie Naomi C Forges Madistin

  • Family Nurse Practitioner
  • Lake Worth, FL
  • NPI 1285387332
  Medicare reassignment NPD
• Jean Pierrot Orelus

  • Family Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1265837017
  Medicare reassignment NPD
• Mario Theliard, M.D.

  • General Practice Physician
  • West Palm Beach, FL
  • NPI 1669804720
  Medicare reassignment NPD

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1053027508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 HAGEN RANCH RD STE 4",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677251",
            "telephone_number": "561-433-9331",
            "fax_number": "561-433-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 HAGEN RANCH RD STE 4",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677251",
            "telephone_number": "561-433-9331",
            "fax_number": "561-433-8411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6045 Hagen Ranch Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334677251",
            "country_code": "US",
            "telephone_number": "561-619-9961",
            "fax_number": "561-433-8411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BETHEL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "MADISTIN",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-420-3346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Maria Berrios, ARNP, FNP-BC
• Shannon L Berthiaume
• Beatriz Besse Beyries, REGISTERED BEHAVIOR
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• Samantha Beyer, LCSW
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• Mirlaine Bhagwandeen
• Bhakta Optometric, Inc

• Nurse Practitioner in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.