Bethany A Biddle, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Mansfield, OH
NPI 1134424591 · NPPES record last updated May 2, 2016
Key facts
- NPI
- 1134424591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN241193 (OH)
- Practice address
- 799 Lexington Ave
Mansfield, OH 44907-1906 - Phone
- (419) 756-5133
- NPI assigned
- Jan 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Central Ohio Family Care Center Inc
Practice addresses (Care Compare)
2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505
629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone (419) 562-4677
715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557
Hospital & facility affiliations
- Avita Ontario
- Bucyrus Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110203000139 | OH | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2062692346 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Anesthesia Group, Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| University Primary Care Practices Inc | Current |
Accepting new patients | |
| University Primary Care Practices Inc | Current |
Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Current |
Accepting new patients | |
| Wooster Pain and Anesthesia Center LLC | Current |
Accepting new patients |
Locations
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
11100 Euclid Ave
Cleveland Heights, OH 44106
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400
29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046
3373 Commerce Pkwy
Ste 3
Wooster, OH 44691
Phone (330) 284-9119
1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100
Interoperability endpoints
- bbiddle33177@ehrdirect.uhhospitals.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN241193 | OH | Yes |
Addresses
Primary practice location
799 Lexington Ave
Mansfield, OH 44907-1906
Mailing address
799 Lexington Ave
Mansfield, OH 44907-1906
Phone (419) 756-5133
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3131300 | Medicaid | OH |
Other providers in Mansfield, OH
- Tessa Bianchi
- Ana Maria Bica
- Jennifer Bice
- Laurie Biddinger
- Alyssa Biddle
- Jill Lynn Biddle
- Cassandra L Biedrzycki
- Ashley M. Bierman
- Rebecca Bigley
- Isabelle Biglin
All providers in Mansfield, OH · Certified Registered Nurse Anesthetist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.