Individual provider Active NPI

Bethany Randles, DNP

  • Family Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1326569559
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017020420 Issued in MO
Practice address
3107 Frederick Ave Ste B
Saint Joseph, MO 64506-3082
Phone
(816) 233-9888
Fax
(816) 233-0414
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 2017020420 MO Primary

Addresses

Primary practice location

3107 Frederick Ave Ste B
Saint Joseph, MO 64506-3082

Mailing address

3107 Frederick Ave Ste B
Saint Joseph, MO 64506-3082
Phone (816) 233-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20170724001451 MO Practitioner - Nurse Practitioner 2163792292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic and Sports Medicine Center LLCGroup PAC ID 5294700449, 20 clinicians

Practice addresses (Care Compare)

3107 Frederick Ave
Suite B
Saint Joseph, MO 64506-3082
Phone (816) 233-9888

Hospital & facility affiliations

  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006

Merit-based Incentive Payment System (MIPS)

Final score
94.54 of 100Reported as group
Quality
89.08
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017020420MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Medicine Center LLC CurrentSince Oct 1, 2023 Accepting new patients
Orthopedic & Sports Medicine Center, LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

3107 Frederick Ave
Ste B
Saint Joseph, MO 64506
Phone (816) 233-9888

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: brandles@osmcortho.emadirect.md

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1326569559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 FREDERICK AVE STE B",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063082",
            "telephone_number": "816-233-9888",
            "fax_number": "816-233-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 FREDERICK AVE STE B",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063082",
            "telephone_number": "816-233-9888",
            "fax_number": "816-233-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLES",
        "first_name": "BETHANY",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017020420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.