Individual provider Active NPI

Bethany Crispin, MD

  • Family Medicine Physician
  • McKee, KY
National Provider Identifier
1255522629
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42913 Issued in KY
Practice address
1010 Main St S
MC Kee, KY 40447-7089
Phone
(606) 287-7104
Fax
(606) 287-4409
NPI assigned
Aug 9, 2007
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42913 KY Primary

Addresses

Primary practice location

1010 Main St S
MC Kee, KY 40447-7089

Mailing address

1010 Main St S
MC Kee, KY 40447-7089
Phone (606) 287-7104

Other identifiers 1

IdentifierTypeStateIssuer
7100051210MedicaidKY

Other names 1

  • Bethany Cookston Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bcrispin19145@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081014000339 KY Practitioner - Family Practice 3779651021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

610 E Brannon Rd
Nicholasville, KY 40356-6066
Phone (859) 260-5540

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Aug 26, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 26, 2020 Accepting new patients
Baptist Health Medical Group, Inc. Family Medicine Past Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

500 Clinic Dr
Hopkinsville, KY 42240
Phone (270) 707-3300

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

610 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 260-5540

648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950

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, 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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1255522629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST S",
            "city": "MC KEE",
            "state": "KY",
            "postal_code": "404477089",
            "telephone_number": "606-287-7104",
            "fax_number": "606-287-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST S",
            "city": "MC KEE",
            "state": "KY",
            "postal_code": "404477089",
            "telephone_number": "606-287-7104",
            "fax_number": "606-287-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISPIN",
        "first_name": "BETHANY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "42913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100051210",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bcrispin19145@bhkydirect.com",
            "affiliation": "N",
            "address_1": "646 University Shopping Ctr",
            "city": "Richmond",
            "state": "KY",
            "country_code": "US",
            "postal_code": "404752614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "COOKSTON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McKee, KY

Sources for this page

Verify at the official NPI Registry.