Active NPI
Brandi L. Betterton, CRNA
- Certified Registered Nurse Anesthetist
- Flowood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4021
- Practice address
- 2510 Lakeland Dr
Flowood, MS 39232-9513 - Phone
- (601) 355-1234
- Fax
- (601) 326-3559
- NPI assigned
- Feb 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4021 | SC | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | A810577 | MS |
Addresses
Primary practice location
2510 Lakeland Dr
Flowood, MS 39232-9513
Mailing address
PO Box 603484
Charlotte, NC 28260-3484
Phone (803) 765-1838
Other practice location 1
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06274072 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091119000094 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7315024742 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Tennessee, HSC, College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Charleston Gastroenterology SpecialistsCarolina Wren Anesthesia Services LLC
Practice addresses (Care Compare)
1962 Charlie Hall Blvd
Charleston, SC 29414-5837
Phone (843) 722-8000
2000 Hospital Dr
Mount Pleasant, SC 29464-3764
Phone (843) 881-0100
Hospital & facility affiliations
- Novant Health East Cooper Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A810577 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours St. Francis Xavier Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Atlantic Coast Anesthesia Services P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Charleston Gastroenterology Specialists | Current | Accepting new patients | |
| Charleston Gastroenterology Specialists | Current | Accepting new patients | |
| Carolina Wren Anesthesia Services, LLC | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Bon Secours St Francis Xavier Hospital, Inc. | Current | Accepting new patients |
Locations
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
1962 Charlie Hall Blvd
Charleston, SC 29414
Phone (803) 722-8000
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885
2001 2nd Ave
Ste 101
Summerville, SC 29486
Phone (843) 722-8000
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Mount Pleasant, SC
- NPI 1184445694
SC
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1932641313
Nurse Anesthetist, Certified Registered, SC
-
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1740502822
SC
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1871035956
Nurse Anesthetist, Certified Registered
-
- Pediatrics Physician
- Charleston, SC
- NPI 1982583068
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1194231761
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Pleasant, SC
- NPI 1841069044
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1265601934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603484",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603484",
"telephone_number": "803-765-1838",
"fax_number": "803-765-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 LAKELAND DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329513",
"telephone_number": "601-355-1234",
"fax_number": "601-326-3559"
}
],
"practiceLocations": [
{
"address_1": "2095 Henry Tecklenburg Dr",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294145733",
"country_code": "US",
"telephone_number": "843-402-1436",
"fax_number": "843-402-1833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BETTERTON",
"first_name": "BRANDI",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-26",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "4021",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "A810577",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06274072",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.