Individual provider Active NPI

Bethany Marie Oster, PA-C

  • Physician Assistant
  • Sevierville, TN
National Provider Identifier
1306542576
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1787 Veterans Blvd Ste 101
Sevierville, TN 37862-6946
Phone
(865) 205-9509
NPI assigned
Jan 31, 2023
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1787 Veterans Blvd Ste 101
Sevierville, TN 37862-6946

Mailing address

9702 Grove Lake Way Unit 107
Knoxville, TN 37922-5199
Phone (701) 640-9634

Other practice location 1

9702 Grove Lake Way
Unit 107
Knoxville, TN 37922-5199
Phone (701) 640-9634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230321002136 TN Practitioner - Physician Assistant 3173997814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DX Mso PLLCGroup PAC ID 7719131101, 88 clinicians

Practice addresses (Care Compare)

170 Mouse Creek Rd NW
Cleveland, TN 37312-3840
Phone (423) 458-1426

2037 Congress Pkwy S
Athens, TN 37303-2813
Phone (423) 381-0152

5150 N Broadway St
Knoxville, TN 37918-2342
Phone (423) 458-1426

6108 Kingston Pike
Knoxville, TN 37919-4019
Phone (423) 458-1426

700 N Campbell Station Rd
Farragut, TN 37934-1602
Phone (423) 458-1426

7564 Chapman Hwy
Knoxville, TN 37920-6684
Phone (423) 458-1426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Urgent Care and Family Care of WNC, PLLC Past Accepting new patients

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": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1306542576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9702 GROVE LAKE WAY UNIT 107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225199",
            "telephone_number": "701-640-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 VETERANS BLVD STE 101",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626946",
            "telephone_number": "865-205-9509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9702 Grove Lake Way",
            "address_2": "Unit 107",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379225199",
            "country_code": "US",
            "telephone_number": "701-640-9634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTER",
        "first_name": "BETHANY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.