Individual provider Active NPI

Bethany Chancelor, CRNP

  • Family Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1124705637
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-134008 Issued in AL
Practice address
1107 14TH Ave SE Ste 300
Decatur, AL 35601-3368
Phone
(256) 350-0362
Fax
(256) 355-9779
NPI assigned
Jun 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-134008 AL Primary

Addresses

Primary practice location

1107 14TH Ave SE Ste 300
Decatur, AL 35601-3368

Mailing address

1107 14TH Ave SE Ste 300
Decatur, AL 35601-3368
Phone (256) 350-0362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230818002791 AL Practitioner - Nurse Practitioner 3476915612 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
Group practices
HH Health System - the Orthopaedic Center LLCGroup PAC ID 0547624843, 172 clinicians

Practice addresses (Care Compare)

1107 14TH Ave SE
Suite 300
Decatur, AL 35601-3368
Phone (256) 350-0362

Hospital & facility affiliations

  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HH Health System - the Orthopaedic Center, LLC CurrentSince Jul 31, 2025 Accepting new patients
Decatur Orthopaedic Clinic, LLC CurrentSince Jul 12, 2023 Accepting new patients
The Orthopaedic Center PastSince Aug 1, 2018 Accepting new patients

Locations

22454 US Highway 72
Ste 200
Athens, AL 35613
Phone (256) 233-2332

1107 14th Ave SE
Ste 300
Decatur, AL 35601
Phone (256) 341-0715

615 Mynatt St SW
Ste B
Hartselle, AL 35640
Phone (256) 286-0640

927 Franklin St SE
Fl 1
Huntsville, AL 35801

927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Organizations & group practices 3

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 1

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": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1124705637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 14TH AVE SE STE 300",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013368",
            "telephone_number": "256-350-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 14TH AVE SE STE 300",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013368",
            "telephone_number": "256-350-0362",
            "fax_number": "256-355-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCELOR",
        "first_name": "BETHANY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-134008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.