Individual provider Active NPI

Bethany Sharon Peckler, PMHNP-BC, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Junction, CO
National Provider Identifier
1245460500
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0990227-NP Issued in CO
Practice address
515 28 3/4 Rd BLDG a
Grand Junction, CO 81501-5016
Phone
(970) 241-6023
NPI assigned
Jul 21, 2009
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0990227-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0990227-NP CO Primary

Addresses

Primary practice location

515 28 3/4 Rd BLDG a
Grand Junction, CO 81501-5016

Mailing address

515 28 3/4 Rd BLDG a
Grand Junction, CO 81501-5016
Phone (970) 241-6023

Other practice location 1

2635 N 7th St Fl 4
Grand Junction, CO 81501-8209
Phone (970) 298-7176

Other identifiers 2

IdentifierTypeStateIssuer
36659738MedicaidCO
124560500MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20141204000148 CO Practitioner - Nurse Practitioner 8022207984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2635 N 7TH St
St. Mary's Hospital Hospital Nephrology Cli
Grand Junction, CO 81501-8209
Phone (970) 298-7106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0990227-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Hospital and Medical Center, Inc Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Sep 5, 2023 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Sep 5, 2023 Accepting new patients
St Mary's Hospital and Medical Center, Inc CurrentSince Oct 13, 2014 Accepting new patients
St Mary's Hospital and Medical Center, Inc CurrentSince Oct 13, 2014 Accepting new patients
Colorado West Regional Mental Health Inc. PastSince Jun 15, 2025 Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients

Locations

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

2635 N 7th St
Fl 4
Grand Junction, CO 81501
Phone (970) 244-2457

2698 Patterson Rd
Grand Junction, CO 81506
Phone (970) 298-2800

Organizations & group practices 8

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1245460500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 28 3/4 RD BLDG A",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815015016",
            "telephone_number": "970-241-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 28 3/4 RD BLDG A",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815015016",
            "telephone_number": "970-241-6023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2635 N 7th St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815018209",
            "country_code": "US",
            "telephone_number": "970-298-7176",
            "fax_number": "970-298-7177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECKLER",
        "first_name": "BETHANY",
        "middle_name": "SHARON",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0990227-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0990227-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36659738",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124560500",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.