Individual provider Active NPI

Bethany Perrin, DO

  • Family Medicine Physician
  • Goshen, IN
National Provider Identifier
1285048835
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02005143A Issued in IN
Practice address
1811 Charlton CT
Goshen, IN 46526-6464
Phone
(574) 534-8200
Fax
(574) 807-9613
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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 02005143A IN Primary

Addresses

Primary practice location

1811 Charlton CT
Goshen, IN 46526-6464

Mailing address

1811 Charlton CT
Goshen, IN 46526-6464
Phone (574) 534-8200

Other identifiers 1

IdentifierTypeStateIssuer
3000007455MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bethany.perrin@goshenhealthdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20171005003664 IN Practitioner - Family Practice 1355566522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshen Family PhysiciansGroup PAC ID 9739118308, 7 clinicians

Practice addresses (Care Compare)

1811 Charlton CT
Goshen, IN 46526-6464
Phone (574) 534-8200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02005143AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Hospital Association Inc Current Accepting new patients
Goshen Family Physicians Family Medicine CurrentSince Jan 5, 2026 Accepting new patients

Locations

1811 Charlton Ct
Goshen, IN 46526
Phone (219) 534-8200

Interoperability endpoints

  • Direct secure messaging: bethany.perrin@goshenhealthdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1285048835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 CHARLTON CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266464",
            "telephone_number": "574-534-8200",
            "fax_number": "574-807-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 CHARLTON CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266464",
            "telephone_number": "574-534-8200",
            "fax_number": "574-807-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "BETHANY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02005143A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000007455",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bethany.perrin@goshenhealthdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2016 S Main St",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465265236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.