Active NPI
Bethany Ranee Mullinix, D.O.
- Family Medicine Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2020022490
- Practice address
- 1605 E Broadway Ste 110
Columbia, MO 65201-8023 - Phone
- (573) 815-8130
- NPI assigned
- Mar 31, 2017
- Last updated
- Aug 4, 2020
- 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 Medicine Physician | 207Q00000X | 2020022490 | MO | Primary |
Addresses
Primary practice location
1605 E Broadway Ste 110
Columbia, MO 65201-8023
Mailing address
1605 E Broadway Ste 110
Columbia, MO 65201-8023
Phone (573) 815-8130
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1605 E Broadway
Suite 110
Columbia, MO 65201-8023
Phone (573) 815-8130
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020022490 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Physician Services, LLC | Current | Accepting new patients |
Locations
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1605 E Broadway
Ste 110
Columbia, MO 65201
Phone (573) 443-8773
1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119
Interoperability endpoints
- bethanymullinix@mhccaremail.com
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1760893259
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Central Missouri Home Health
- Home Health Agency
- Jefferson City, MO
- NPI 1881257145
-
dba Boone Hospital Center
- Cardiac Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1548734734
Hospital
-
dba Boone Hospital Center
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
-
- Community Based Hospice Care Agency
- Columbia, MO
- NPI 1558463380
-
dba Compassus Home Health
- Home Health Agency
- Columbia, MO
- NPI 1861233033
-
dba Capital Region Medical Center
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
dba University of Missouri Health Care
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
-
dba Elara Caring
- Home Health Agency
- Jefferson City, MO
- NPI 1255379145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1336671023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 E BROADWAY STE 110",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018023",
"telephone_number": "573-815-8130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 E BROADWAY STE 110",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018023",
"telephone_number": "573-815-8130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINIX",
"first_name": "BETHANY",
"middle_name": "RANEE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-31",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2020022490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.