Individual provider Active NPI

Betty Eller Abernathy, F.N.P.

  • Family Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1306827431
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F2192 Issued in SC
Practice address
1241 Boiling Springs Rd
Spartanburg, SC 29303-2258
Phone
(864) 591-0992
Fax
(864) 591-0776
NPI assigned
Nov 7, 2005
Last updated
Jul 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F2192 SC Primary

Addresses

Primary practice location

1241 Boiling Springs Rd
Spartanburg, SC 29303-2258

Mailing address

89 Woodwind Dr
Spartanburg, SC 29302-4532
Phone (864) 583-3913

Other identifiers 1

IdentifierTypeStateIssuer
NP0528MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20041112000470 SC Practitioner - Nurse Practitioner 7416911292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Family MedicineGroup PAC ID 3476517244, 3 clinicians

Practice addresses (Care Compare)

1241 Boiling Springs Rd
Spartanburg, SC 29303-2258
Phone (864) 591-0992

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2192SCMDAthletic Trainer
F2192SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Med First Immediate Care & Family Practice, PA PastSince Sep 1, 2004 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1306827431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 WOODWIND DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024532",
            "telephone_number": "864-583-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 BOILING SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032258",
            "telephone_number": "864-591-0992",
            "fax_number": "864-591-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABERNATHY",
        "first_name": "BETTY",
        "middle_name": "ELLER",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F2192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0528",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.