Individual provider Active NPI

Bethany Ann Bruner

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1376104232
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60977637 Issued in WA
Practice address
5420 W Barnes Rd Apt 206
Spokane, WA 99208-7031
Phone
(509) 270-2453
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60977637 WA Primary

Addresses

Primary practice location

5420 W Barnes Rd Apt 206
Spokane, WA 99208-7031

Mailing address

5420 W Barnes Rd Apt 206
Spokane, WA 99208-7031
Phone (509) 270-2453

Other names 1

  • Bethany Ann Copeland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210301001439 WA Practitioner - Nurse Practitioner 2062828973 Reassigns benefits to 1 organization
Practice locations: Spokane, WA
I20221020000664 NV Practitioner - Nurse Practitioner 2062828973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Solutions LLCGroup PAC ID 4385998954, 60 clinicians

Practice addresses (Care Compare)

2200 Paseo Verde Pkwy
Suite 190
Henderson, NV 89052-2703
Phone (702) 589-4871

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
80.29
Promoting interoperability
95
Improvement activities
40
Cost
61.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60977637WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Youth and Family Counseling CurrentSince Dec 1, 2021 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Sep 30, 2022 Accepting new patients
Bethany Heath Arnp-Pmhnp PLLC Psychiatric/Mental Health CurrentSince Feb 1, 2021 Accepting new patients
Behavioral Health Solutions LLC CurrentSince Sep 30, 2022 Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

221 W Wynooche Ave
Unit B
Montesano, WA 98563
Phone (360) 280-4969

12128 N Division St
Spokane, WA 99218
Phone (509) 455-3453

16000 Christensen Rd
Ste 200
Tukwila, WA 98188
Phone (833) 719-0886

Interoperability endpoints

  • Direct secure messaging: bethany.heath.1@24259.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1376104232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W BARNES RD APT 206",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992087031",
            "telephone_number": "509-270-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 W BARNES RD APT 206",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992087031",
            "telephone_number": "509-270-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "BETHANY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60977637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "COPELAND",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.