Individual provider Active NPI

Bethany Corinne Parker, MSNA

  • Certified Registered Nurse Anesthetist
  • Gulfport, MS
National Provider Identifier
1205103512
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
810640 Issued in MS
Practice address
3017 13TH St
Gulfport, MS 39501-1833
Phone
(228) 831-0050
Fax
(228) 831-1121
NPI assigned
Nov 30, 2011
Last updated
Jan 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 17714 SC
Certified Registered Nurse Anesthetist 367500000X 810640 MS Primary

Addresses

Primary practice location

3017 13TH St
Gulfport, MS 39501-1833

Mailing address

140 Sea Oaks Blvd
Long Beach, MS 39560-5841
Phone (307) 679-9151

Other practice location 1

809 82nd Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150323002415 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648432658 Reassigns benefits to 3 organizations
I20251121001754 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648432658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians

Practice addresses (Care Compare)

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000

920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7654NCMDOccupational Therapy Assistant
810640MSMDCertified Registered Nurse Anesthetist
17714SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Coastal Anesthesia Service PA CurrentSince Nov 1, 2021 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Feb 11, 2015 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Dec 29, 2025 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 2, 2022 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Feb 11, 2015 Accepting new patients
Ambulatory Care Anesthesia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Beach Anesthesia, LLC Past Accepting new patients
Coastal Anesthesia Medical Group, LLC Past Accepting new patients

Locations

12266 Ashley Dr
Gulfport, MS 39503
Phone (228) 225-4832

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4855

3017 13th St
Gulfport, MS 39501
Phone (228) 831-0050

1926 23rd Ave
Meridian, MS 39301
Phone (601) 485-1131

Interoperability endpoints

  • Direct secure messaging: bparker@direct.mhg.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1205103512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SEA OAKS BLVD",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395605841",
            "telephone_number": "307-679-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395011833",
            "telephone_number": "228-831-0050",
            "fax_number": "228-831-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 82nd Pkwy",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724607",
            "country_code": "US",
            "telephone_number": "843-692-1062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BETHANY",
        "middle_name": "CORINNE",
        "name_prefix": "Ms.",
        "credential": "MSNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "17714",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "810640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.