Active NPI
Bethanne Stevens, ARNP, FNP-C
- Family Nurse Practitioner
- Ottumwa, IA
National Provider Identifier
1316189004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A-104852
- Practice address
- 920 N Quincy Ave
Ottumwa, IA 52501-3866 - Phone
- (641) 455-5200
- Fax
- (641) 455-5150
- NPI assigned
- Mar 27, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A-104852 | IA | Primary |
Addresses
Primary practice location
920 N Quincy Ave
Ottumwa, IA 52501-3866
Mailing address
920 N Quincy Ave
Ottumwa, IA 52501-3866
Phone (641) 455-5200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A104852 | Other | IA | IOWA LICENSE |
| 1316189004 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-3832
411 Merrill St
Bussey, IA 50044-7711
Phone (641) 944-5813
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.84 of 100
- Quality
- 91.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-104852 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pella Regional Health Center | Current | Accepting new patients | |
| Ottumwa Regional Health Center Inc | Past | 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 and National Provider Directory roles.
-
- Critical Access Hospital
- Pella, IA
- NPI 1578520888
-
- Home Health Agency
- Ottumwa, IA
- NPI 1750383055
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Pella, IA
- NPI 1578520888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1316189004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 N QUINCY AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525013866",
"telephone_number": "641-455-5200",
"fax_number": "641-455-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 N QUINCY AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525013866",
"telephone_number": "641-455-5200",
"fax_number": "641-455-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "BETHANNE",
"name_prefix": "Ms.",
"credential": "ARNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-27",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A-104852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA LICENSE",
"identifier": "A104852",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316189004",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.